Melinda Susan Diciro in Represa - Clinical
Melinda Susan Diciro - NPI 1043489800
Melinda Susan Diciro is a Clinical in Represa, California. Melinda Susan Diciro practices all healthcare services and medical treatments related to Clinical. The NPI Number for Melinda Susan Diciro is 1043489800. The last update date is 2008-02-26.
Melinda Susan Diciro's current location address is 100 Prison Rd, Represa, California. You can contact this provider via phone number 9169858610. The mailing address for Melinda Susan Diciro is 100 Prison Rd, Represa, California. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Melinda Susan Diciro |
|---|---|
| Address | 100 Prison Rd, Represa, California |
| Phone Number | 9169858610 |
| Fax Number | |
| Sole Proprietor | Y |
| Credentials | PSY.D. |
NPI Number Detail
| NPI Number | 1043489800 |
|---|---|
| Provider Enumeration Date | 2008-02-26 |
| Last Updated Date | 2008-02-26 |
Provider Mailing Address Detail
| Address | 100 Prison Rd |
|---|---|
| City | Represa |
| State | California (CA) |
| Post Code | 956713000 |
| Phone Number | 9169858610 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 103Tc0700X |
| Licence No | CA18482 |
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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 10-digit identification code assigned to Melinda Susan Diciro by the Centers for Medicare & Medicaid Services?
The Melinda Susan Diciro has been issued the NPI (National Provider Identifier) 1043489800, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you please share the complete physical address where Melinda Susan Diciro is geographically located?
The Melinda Susan Diciro is physically situated at the following location: 100 Prison Rd, Represa, CA, 956713000.
What is Melinda Susan Diciro's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Melinda Susan Diciro's specialized field of practice is Clinical, and the corresponding taxonomy code that categorizes this area of specialization is 103Tc0700X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1043489800 to Melinda Susan Diciro?
The Centers for Medicare & Medicaid Services originally issued the 1043489800 to Melinda Susan Diciro on 2008-02-26.
As of what date were the details related to Melinda Susan Diciro most recently updated or revised?
The information pertaining to Melinda Susan Diciro, including its address, specialty, and other relevant details, was last updated or revised on 2008-02-26.
NPI Number: 1902809924
Address: 2400 W Main St, Rock Hill, SC