Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
JUSTIN DALLACQUA, J.D., PSY.D.
Active Sole ProprietorJUSTIN DALLACQUA, J.D., PSY.D. is a Psychologist healthcare provider located in FLAGSTAFF, Arizona. NPI 1780059584 is currently active in the NPPES registry. Verify at CMS.
Psychologist · FLAGSTAFF, AZ
Registration Details
- NPI Number
- 1780059584
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Dec 4, 2015 (10.724057968275 yrs)
- Last Updated
- Dec 4, 2015
- License
-
4681 (AZ)
- Sole Proprietor
- Yes
Practice Information
- Address
-
408 N KENDRICK STSUITE 3FLAGSTAFF, AZ, 860011582Browse AZ providers · Browse ZIP 86001
- Phone
- 6024562148
- Primary Specialty
-
Psychologist
103T00000X
Other Psychologist Providers in FLAGSTAFF, AZ
| Name | Credential | NPI |
|---|---|---|
| DR. SUSAN ELIZABETH SWANN | PH.D. | 1689678591 |
| DR. MARY JANE MCLELLAN | PH.D | 1407853625 |
| DR. KIM ALLYSON KALAS | ED.D. | 1437144623 |
| DANIEL CADY | ED D | 1770573743 |
| DR. EUGENE RICHARD MOAN | ED.D. | 1689762700 |
| DR. RAMONA N MELLOTT | PH.D. | 1578623484 |
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.