| Thomas Diloreto Phd Inc | |
|
1409 Kingsley Ave #9c Orange Park FL 32073-4537 | |
| (904) 264-3014 | |
| (904) 269-0842 |
| Full Name | Thomas Diloreto Phd Inc |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 1409 Kingsley Ave, Orange Park, Florida |
| Authorized Official Name and Position | Thomas Diloreto (OWNER) |
| Authorized Official Contact | 9042643014 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Thomas Diloreto Phd Inc 1409 Kingsley Ave #9c Orange Park FL 32073-4537 Ph: (904) 264-3014 | Thomas Diloreto Phd Inc 1409 Kingsley Ave #9c Orange Park FL 32073-4537 Ph: (904) 264-3014 |
| NPI Number | 1952692865 |
|---|---|
| Provider Enumeration Date | 04/26/2011 |
| Last Update Date | 04/26/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1952692865 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | SW990 (ZZ) | Primary |
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