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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

THERESA MARIE DICAMILLO, MEDICAL ASSISTANT

Active Sole Proprietor

THERESA MARIE DICAMILLO, MEDICAL ASSISTANT is a Prescribing Psychologist healthcare provider located in WHEAT RIDGE, Colorado. NPI 1710362215 is currently active in the NPPES registry. Verify at CMS.

Prescribing Psychologist · WHEAT RIDGE, CO

Registration Details

NPI Number
1710362215
Provider Type
Individual
Gender
Female
NPI Issued
Jul 25, 2015 (11.074276075158 yrs)
Last Updated
Jul 25, 2015
License
2745171 (CO)
Sole Proprietor
Yes

Practice Information

Address
4851 INDEPENDENCE ST
WHEAT RIDGE, CO, 800336715
Browse CO providers · Browse ZIP 80033
Phone
3034325040
Primary Specialty
Prescribing Psychologist
103TP0016X
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.