Individual
PROF. DAVID COLIN CICERO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHD
Contact information
Practice address
1155 UNION CIR # 311280, DENTON, TX 76203-5017
(808) 253-8205
Mailing address
701 W PRATT ST, BALTIMORE, MD 21201-1023
(410) 328-7584
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
38608
TX
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
05/16/2011
Last updated
06/13/2024
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