DR. JOHN PHILIP DIBACCO PHD NPI 1447480538

NPI Information

NPI: 1447480538
Provider Name: DR. JOHN PHILIP DIBACCO, PHD
Classification: Psychologist - 103TF0200X
Entity Type: Individual

Specialization: Forensic

Address:
11811 N TATUM BLVD
P115
PHOENIX, AZ
ZIP 85028
Phone: (602) 953-6165
Get Directions

DR. John Philip Dibacco, PHD is a forensic psychologist in Phoenix, AZ. The provider is a psychologist whose specialty is characterized by activities primarily intended to provide professional psychological expertise within the judicial and legal systems. DR. John Philip Dibacco, PHD NPI is 1447480538. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

11811 N TATUM BLVD
P115
PHOENIX, AZ
ZIP 85028-614
Phone: (602) 953-6165

The enumeration date for this NPI number is 7/23/2009 and was last updated on 7/23/2009.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	103TF0200X	Psychologist	Forensic	131	NEVADA	No
2	103TF0200X	Psychologist	Forensic	524	ARIZONA	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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