Antonuccio, David
Antonuccio, David is an individual health care provider with primary practice located at 401 W 2Nd St Ste 216 , Reno NV 89503-5353. He recently has only one registered license in Behavioral Health & Social Service Providers / Psychologist, which is considered as his primary health care specialty. Antonuccio, David can be contacted via phone (775) 784-6388.Contact Information
Primary practice address
401 W 2Nd St Ste 216
Reno NV 89503-5353
Phone: (775) 784-6388
Fax: (775) 784-1428
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Psychologist | 103T00000X | PY104 | Nevada |
Profile Details
| NPI number | 1730293457 |
|---|---|
| LBN Legal business name | Antonuccio, David |
| Credentials | P.H.D. |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 19th, 2006 |
| Last updated | Dec 16th, 2009 - about 16 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1730293457 | NPPES |
| Nevada | MEDICAID | 002616051 |
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