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Individual

DR. JANIS DI CIACCO

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
PH.D.

Contact information

Practice address
461 MAGNOLIA ST, DENVER, CO 80220-6011
(303) 321-4184
Mailing address
461 MAGNOLIA ST, DENVER, CO 80220-6011
(303) 321-4184

Taxonomy

Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
1053
CO

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
07010531
CO
01
8137-6
BLUE CROSS/BLUE SHIELD
CO
Enumeration date
02/05/2007
Last updated
04/01/2010
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