Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 103G00000X | Clinical Psychologist | PSY12604 | CA |
Y | 103TC0700X | Clinical Psychologist | PSY12604 | CA |
N | 103TC1900X | Counseling Psychologist | PSY12604 | CA |
N | 103TR0400X | Rehabilitation Psychologist | PSY12604 | CA |
NPI | 1740337914 |
---|---|
Provider Name | Dr. Richard Lawrence Delmonico |
First Address | Napa, CA 94558-2933 |
Second Address | Napa, CA 94558-2933 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 03/01/2007 |
Last Update Date | 11/02/2022 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
PSY12604 | LICENSE NUMBER (01) | CA |