Individual
DR. DENNIS ALDO COLUCCI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
AU.D., M.A., ABA
Contact information
Practice address
24672 SAN JUAN AVE STE 104, DANA POINT, CA 92629-2837
(949) 230-1976
(949) 388-0932
Mailing address
32565 GOLDEN LANTERN ST, SUITE B#117, DANA POINT, CA 92629-3261
(949) 230-1976
(949) 388-0932
Taxonomy
Speciality
Code
Description
License number
State
231H00000X
Audiologist
Primary
AU348
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
AU348
STATE LICENSE
CA
Enumeration date
01/02/2007
Last updated
07/21/2020
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