1790900934 NPI number — MR. ROMEO A DICCION II MA, LPC

Table of content: MR. ROMEO A DICCION II MA, LPC (NPI 1790900934)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1790900934 NPI number — MR. ROMEO A DICCION II MA, LPC

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
DICCION
Provider First Name:
ROMEO
Provider Middle Name:
A
Provider Name Prefix Text:
MR.
Provider Name Suffix Text:
II
Provider Credential Text:
MA, LPC
Provider Gender Code:
M

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1790900934
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
07/08/2007
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
231 RIVERVIEW DR
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
SALINE
Provider Business Mailing Address State Name:
MI
Provider Business Mailing Address Postal Code:
48176-9131
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
734-944-3306
Provider Business Mailing Address Fax Number:

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
2008 HOGBACK RD
Provider Second Line Business Practice Location Address:
SUITE 8
Provider Business Practice Location Address City Name:
ANN ARBOR
Provider Business Practice Location Address State Name:
MI
Provider Business Practice Location Address Postal Code:
48105-9768
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
734-786-4900
Provider Business Practice Location Address Fax Number:
734-786-8051
Provider Enumeration Date:
04/14/2007

Additional Information

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 101YP2500X , with the licence number:  6401001517 , registered in the state of MI ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)





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