Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. SCOTT DAVID CICERO, PH.D.
Active Sole ProprietorDR. SCOTT DAVID CICERO, PH.D. is a Child, Clinical Psychologist healthcare provider located in ORANGEBURG, New York. NPI 1083925598 is currently active in the NPPES registry. Verify at CMS.
Child, Clinical Psychologist · ORANGEBURG, NY
Registration Details
- NPI Number
- 1083925598
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jun 30, 2010 (16.167095707522 yrs)
- Last Updated
- May 29, 2015
- License
-
011369 (NY)
- Sole Proprietor
- Yes
Practice Information
- Address
-
2 FIRST AVE.ORANGEBURG, NY, 10962Browse NY providers · Browse ZIP 10962
- Phone
- 8456804024
- Fax
- 8456808905
- Primary Specialty
-
Child, Clinical Psychologist
103TC2200X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.