Most Relevant Information
Provider Data
| NPI Number: | 1003801457 |
| Provider Name: | F VICTORIA DICICCO PHD |
| Entity Type: | Individual |
| Taxonomy Code: | 103TC0700X |
| Specialty: | Psychologist |
| License Number: | PSY7974 |
Most Important Dates
| Enumeration Date: | 09/13/2005 |
| Last Updated: | 12/06/2007 |
Provider Practice Location
5190 GOVERNOR DR
STE 108
SAN DIEGO
CA
921222847
Practice Location Phone/Fax
| Phone: | 8584525800 |
| Fax: | 8585460411 |
Provider Mailing Location
5190 GOVERNOR DRIVE
STE 108
SAN DIEGO
CA
92122
Provider Mailing Phone/Fax
| Phone: | 8584525800 |
| Fax: | 8585460411 |