Tina Dicicco Reynolds, Pa

LBN: Tina Dicicco Reynolds, Pa
Tina Dicicco Reynolds, Pa is an health care organization with primary practice located at 11401 Nw 14Th Ct , Pembroke Pines FL 33026. The organization recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as the primary health care specialty. Tina Dicicco Reynolds, Pa can be contacted via phone (954) 787-9711, or through Reynolds, Tina Dicicco via phone (954) 787-9711.

Contact Information

Primary practice address
11401 Nw 14Th Ct Pembroke Pines FL 33026
Fax: (954) 787-8116
Website:
Authorized official contact:
Name: Reynolds, Tina Dicicco PSY.D.

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 103TC0700X PY 7384 Florida

Profile Details

NPI number 1336421718
LBN Legal business name Tina Dicicco Reynolds, Pa
DBA Doing business as
Authorized official Reynolds, Tina Dicicco PSY.D.
Entity Organization
Organization subpart 1 No
Enumeration date Sep 12th, 2011
Last updated May 6th, 2021 - about 3 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

Request for update

Popular Providers