Individual
JOHN A DICKE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PSYD
Contact information
Practice address
3701 W RADCLIFF AVE, DENVER, CO 80236-3645
(888) 948-6789
(877) 345-3501
Mailing address
1 KALISA WAY, STE 101, PARAMUS, NJ 07652-3508
(888) 948-6789
(877) 345-3501
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
1980
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
11366428
CAQH PIN
CO
01
—
1980
STATE LICENSE
CO
Enumeration date
05/11/2012
Last updated
01/13/2023
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