Diregolo, Jerry Augustine

Diregolo, Jerry Augustine is an sole proprietor health care provider with primary practice located at 1600 Eureka Rd , Roseville CA 95661-3027. He recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Clinical, Behavioral Health & Social Service Providers / Clinical Child & Adolescent. Behavioral Health & Social Service Providers / Clinical is his primary health care specialty. Diregolo, Jerry Augustine can be contacted via phone (916) 771-7610.

Contact Information

Primary practice address
1600 Eureka Rd Roseville CA 95661-3027
Phone: (916) 771-7610
Fax: (916) 771-7650
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 103TC0700X PSY4274 California
Behavioral Health & Social Service Providers / Clinical Child & Adolescent 103TC2200X PSY4274 California

Profile Details

NPI number 1427110816
LBN Legal business name Diregolo, Jerry Augustine
Credentials PHD
Entity Individual
Sole proprietor 1 Yes
Enumeration date Dec 14th, 2006
Last updated Jul 8th, 2007 - about 17 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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