Individual
DR. JOHN PHILIP DIBACCO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHD
Taxonomy
Speciality
Code
Description
License number
State
103TF0200X
Forensic Psychologist
131
NV
103TF0200X
Forensic Psychologist
Primary
524
AZ
Other
Enumeration date
07/23/2009
Last updated
07/23/2009
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