Tina Dicicco Reynolds in Pembroke Pines - Cognitive & Behavioral
Tina Dicicco Reynolds - NPI 1508934928
Tina Dicicco Reynolds is a Cognitive & Behavioral in Pembroke Pines, Florida. Tina Dicicco Reynolds practices all healthcare services and medical treatments related to Cognitive & Behavioral. The NPI Number for Tina Dicicco Reynolds is 1508934928. The last update date is 2021-05-06.
Tina Dicicco Reynolds's current location address is 11401 Nw 14th Ct, Pembroke Pines, Florida. You can contact this provider via phone number 9547879711 and fax number 9547878116. The mailing address for Tina Dicicco Reynolds is 11401 Nw 14th Ct, Pembroke Pines, Florida. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Tina Dicicco Reynolds |
|---|---|
| Address | 11401 Nw 14th Ct, Pembroke Pines, Florida |
| Phone Number | 9547879711 |
| Fax Number | 9547878116 |
| Sole Proprietor | Y |
| Credentials | PSY.D. |
NPI Number Detail
| NPI Number | 1508934928 |
|---|---|
| Provider Enumeration Date | 2006-12-01 |
| Last Updated Date | 2021-05-06 |
Provider Mailing Address Detail
| Address | 11401 Nw 14th Ct |
|---|---|
| City | Pembroke Pines |
| State | Florida (FL) |
| Post Code | 33026 |
| Phone Number | 9547879711 |
| Fax Number | 9547878116 |
Provider's Primary Taxonomy Detail
| Speciality | Cognitive & Behavioral |
|---|---|
| Taxonomy | 103Tb0200X |
| Licence No | PY 7384 |
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Definition: A psychologist who reflects an experimental-clinical approach distinguished by use of principles of human learning and development and theories of cognitive processing to promote meaningful change in maladaptive human behavior and thinking. |
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What is the unique 10-digit identification code assigned to Tina Dicicco Reynolds by the Centers for Medicare & Medicaid Services?
The Tina Dicicco Reynolds has been issued the NPI (National Provider Identifier) 1508934928, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you share the physical location details of Tina Dicicco Reynolds?
The Tina Dicicco Reynolds is situated at 11401 Nw 14Th Ct, in the city of Pembroke Pines, state of FL, with the zip code 33026.
What is the area of specialization for Tina Dicicco Reynolds, and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for Tina Dicicco Reynolds is Cognitive & Behavioral, and the corresponding taxonomy code that categorizes this area of expertise is 103Tb0200X.
On what date did the Centers for Medicare & Medicaid Services issue the 1508934928 to Tina Dicicco Reynolds?
The Tina Dicicco Reynolds received its 1508934928 assignment from the Centers for Medicare & Medicaid Services on 2006-12-01.
As of what date were the details related to Tina Dicicco Reynolds most recently updated or revised?
The information pertaining to Tina Dicicco Reynolds, including its address, specialty, and other relevant details, was last updated or revised on 2021-05-06.