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Theresa Marie Dicamillo, MEDICALASSISTANT
Prescribing (Medical) Psychologist in Wheat Ridge, Colorado
NPI 1710362215

Theresa Marie Dicamillo is a Prescribing (Medical) Psychologist based in Wheat Ridge, CO and is specialized in Prescribing (Medical). Theresa Marie Dicamillo practices in Wheat Ridge, CO and has the professional credentials of MEDICALASSISTANT. The NPI Number for Theresa Marie Dicamillo is 1710362215 and holds a License No. 2745171 (Colorado).

The current practice location address for Theresa Marie Dicamillo is 4851 Independence St, Wheat Ridge, CO and can be reached out via phone at 303-432-5040.

Location: 4851 Independence St, Wheat Ridge, CO, 80033-6715
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1710362215
Provider Name
Theresa Marie Dicamillo
Credential
MEDICALASSISTANT
Provider Entity Type
Individual
Gender
Female
Address
4851 Independence St, Wheat Ridge, CO, 80033-6715
Phone Number
303-432-5040
Fax Number
Provider Enumeration Date
07/25/2015
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
20308 01 CO BASIC LIFE SUPPORT
2745171 01 CO AMERICAN MEDICAL TECHNOLOGISTS
institution
Provider Business Practice Location Address Details
Address
4851 Independence St
City
Wheat Ridge
State
Colorado
Zip
80033-6715
Phone Number
303-432-5040
Fax Number
person
Provider Business Mailing Address Details
Address
4851 Independence St
City
Wheat Ridge
State
Colorado
Zip
80033-6715
Phone Number
303-432-5040
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Psychologist
Speciality
Prescribing (Medical)
Taxonomy
103TP0016X
License No.
2745171 (Colorado)
Definition
A licensed, doctoral-level psychologist authorized to prescribe and has undergone specialized education and training in preparation for prescriptive practice and has passed an examination accepted by the state board of psychology relevant to establishing competence for prescribing, and has received from the state board of psychology a current certificate granting prescriptive authority, which has not been revoked or suspended.
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