Reynolds, Tina Dicicco

Reynolds, Tina Dicicco is an sole proprietor health care provider with primary practice located at 11401 Nw 14Th Ct , Pembroke Pines FL 33026. She recently has 4 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Cognitive & Behavioral, Behavioral Health & Social Service Providers / Clinical Child & Adolescent, Behavioral Health & Social Service Providers / Family, Behavioral Health & Social Service Providers / Clinical. Behavioral Health & Social Service Providers / Clinical is her primary health care specialty. Reynolds, Tina Dicicco can be contacted via phone (954) 787-9711.

Contact Information

Primary practice address
11401 Nw 14Th Ct Pembroke Pines FL 33026
Phone: (954) 787-9711
Fax: (954) 787-8116
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Cognitive & Behavioral 103TB0200X PY 7384 Florida
Behavioral Health & Social Service Providers / Clinical Child & Adolescent 103TC2200X PY 7384 Florida
Behavioral Health & Social Service Providers / Family 103TF0000X PY 7384 Florida
Behavioral Health & Social Service Providers / Clinical 103TC0700X PY 7384 Florida

Profile Details

NPI number 1508934928
LBN Legal business name Reynolds, Tina Dicicco
Credentials PSY.D.
Entity Individual
Sole proprietor 1 Yes
Enumeration date Dec 1st, 2006
Last updated May 6th, 2021 - about 3 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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