Melinda Susan Diciro PSY.D.

NPI 1043489800 - Psychologist - 103TC0700X

NPI Details
NPI 1043489800
Gender Female
Enumeration Date 02/26/2008
Last Updated 02/26/2008
Entity Type Individual
Active Over 8 years ago
Practice Location
100 PRISON RD
REPRESA CA, 95671-3000, US
Phone (916) 985-8610
Fax
Business Location
1100 ROSEVILLE PKWY
APT. # 1028
ROSEVILLE CA, 95678-4100, US
Phone (916) 749-3511
Fax
Toxanomy
Taxonomy Code 103TC0700X
License State California
License Number CA18482
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According to our database, Dr. Melinda Susan Diciro PSY.D. NPI is 1043489800, taxonomy code is 103TC0700X and license number is CA18482, license state is located at California. Melinda Susan Diciro PSY.D. physically located at 100 Prison Rd, Represa CA, 95671-3000. NPI Number Melinda Susan Diciro PSY.D. has the Individual type.

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1043489800 NPI number is provided on an as is basis without warranty of any kind. 1043489800 is maintained by the National Plan & Provider Enumeration System. The contents of Melinda Susan Diciro PSY.D. are for informational purposes only.