Jerry Augustine Diregolo in Roseville - Clinical
Jerry Augustine Diregolo - NPI 1427110816
Jerry Augustine Diregolo is a Clinical in Roseville, California. Jerry Augustine Diregolo practices all healthcare services and medical treatments related to Clinical. The NPI Number for Jerry Augustine Diregolo is 1427110816. The last update date is 2007-07-08.
Jerry Augustine Diregolo's current location address is 1600 Eureka Rd, Roseville, California. You can contact this provider via phone number 9167717610 and fax number 9167717650. The mailing address for Jerry Augustine Diregolo is 1600 Eureka Rd, Roseville, California. To know further, please read the information below!
Provider Profile Detail
Provider Name | Jerry Augustine Diregolo |
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Address | 1600 Eureka Rd, Roseville, California |
Phone Number | 9167717610 |
Fax Number | 9167717650 |
Sole Proprietor | Y |
Credentials | PHD |
NPI Number Detail
NPI Number | 1427110816 |
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Provider Enumeration Date | 2006-12-14 |
Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
Address | 1600 Eureka Rd |
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City | Roseville |
State | California (CA) |
Post Code | 956613027 |
Phone Number | 9167717610 |
Fax Number | 9167717650 |
Provider's Primary Taxonomy Detail
Speciality | Clinical |
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Taxonomy | 103Tc0700X |
Licence No | PSY4274 |
Definition: A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in |
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What is the unique identifier code issued to Jerry Augustine Diregolo by the Centers for Medicare & Medicaid Services?
The Jerry Augustine Diregolo has been assigned the NPI (National Provider Identifier) 1427110816. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Could you please share the complete physical address where Jerry Augustine Diregolo is geographically located?
The Jerry Augustine Diregolo is physically situated at the following location: 1600 Eureka Rd, Roseville, CA, 956613027.
What is the Jerry Augustine Diregolo's area of specialization and corresponding taxonomy classification?
The Jerry Augustine Diregolo's specialty field is Clinical, and it falls under the taxonomy code 103Tc0700X, which categorizes healthcare providers based on their specialties.
On what date did the Jerry Augustine Diregolo receive the assignment of its 1427110816 from the Centers for Medicare & Medicaid Services?
The Jerry Augustine Diregolo was issued its 1427110816 by the Centers for Medicare & Medicaid Services on 2006-12-14.
When was the information related to Jerry Augustine Diregolo most recently updated or refreshed?
The details pertaining to the Jerry Augustine Diregolo, including its address, specialty, and other relevant information, were last updated or refreshed on 2007-07-08.
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