Dibacco, John Philip

Dibacco, John Philip is an individual health care provider with primary practice located at 11811 N Tatum Blvd P115, Phoenix AZ 85028-1614. He recently has only one registered license in Behavioral Health & Social Service Providers / Forensic, which is considered as his primary health care specialty. Dibacco, John Philip can be contacted via phone (602) 953-6165.

Contact Information

Primary practice address
11811 N Tatum Blvd P115 Phoenix AZ 85028-1614
Phone: (602) 953-6165
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Forensic 103TF0200X 524 Arizona
Behavioral Health & Social Service Providers / Forensic 103TF0200X 131 Nevada

Profile Details

NPI number 1447480538
LBN Legal business name Dibacco, John Philip
Credentials PHD
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 23rd, 2009
Last updated Jul 23rd, 2009 - about 15 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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