John Philip Dibacco, PHD Valid NPI
Individual provider · Forensic Psychologist · Phoenix, AZ
- NPI
- 1447480538
- Type
- Individual (Type 1)
- Primary specialty
- Forensic Psychologist (Psychologist)
- Specialty group
- Behavioral Health & Social Service Providers
- Taxonomy code
- 103TF0200X
- License number
- 524 (AZ)
- Sex
- Male
- Sole proprietor
- No
- Enumerated
- 2009-07-23
- Last updated
- 2009-07-23
Practice location
11811 N Tatum Blvd, P115
Phoenix, AZ 85028-1614
(602) 953-6165