| Dallacqua Psychology, Llc | |
|
3157 S Hannah Ln Flagstaff AZ 86005-6409 | |
| (928) 362-2622 | |
| Not Available |
| Full Name | Dallacqua Psychology, Llc |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 3157 S Hannah Ln, Flagstaff, Arizona |
| Authorized Official Name and Position | Justin Dallacqua (MANAGER) |
| Authorized Official Contact | 9284325358 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Dallacqua Psychology, Llc 3157 S Hannah Ln Flagstaff AZ 86005-6409 Ph: () - | Dallacqua Psychology, Llc 3157 S Hannah Ln Flagstaff AZ 86005-6409 Ph: (928) 362-2622 |
| NPI Number | 1720707391 |
|---|---|
| Provider Enumeration Date | 08/25/2022 |
| Last Update Date | 08/25/2022 |
| Certification Date | 08/25/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1720707391 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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