DALLACQUA PSYCHOLOGY, LLC

FLAGSTAFF, AZ
NPI1720707391
Entity TypeOrganization
Authorized ContactJUSTIN DALLACQUA
Manager
928-432-5358
Organization Subpart ?No
Primary Taxonomy251S00000X 
Enumeration Date2022-08-25
Last Update Date2022-08-25
Business Address
DALLACQUA PSYCHOLOGY, LLC
3157 S HANNAH LN
FLAGSTAFF, AZ 86005-6409
Phone number: 928-362-2622
Mailing Address
DALLACQUA PSYCHOLOGY, LLC
3157 S HANNAH LN
FLAGSTAFF, AZ 86005-6409
Phone number: