DR. LARRY SAMUEL MORICCA


Address: 642 Pollasky Ave, #210, Clovis, CA 93612-1875
Phone: 5592995451

DR. LARRY SAMUEL MORICCA (NPI# 1851441810) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1851441810
Entity Type Individual
Full Name DR. LARRY SAMUEL MORICCA
Credential PH.D.
Practice Address 642 Pollasky Ave
#210
Clovis
CA 93612-1875
Practice Telephone 5592995451
Practice Fax Number 5592985378
Mailing Telephone 5592948197
Mailing Fax Number 5592985378
Enumeration Date 2007-01-11
Last Update Date 2010-12-09
Gender Code M
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 103TC0700X Psychologist
Specialization: Clinical
PSY7595 CA Behavioral Health & Social Service Providers

Office Location

Street Address 642 POLLASKY AVE
#210
City CLOVIS
State CA
Zip Code 93612-1875

Providers in the same location

NPI Name Taxonomy Address Enumeration
1336261833 Michael D. Zimmerman Psychologist 642 Pollasky Ave, Suite 210, Clovis, CA 93612-1875 2007-04-04

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
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1285190827 Natividad Casillas Behavior Technician 20 N Dewitt, Clovis, CA 93612 2019-02-19
1922578988 Benjamin Harold Davis Jr. Behavior Technician Swans Consulting, 20 N Dewitt Ave, Clovis, CA 93612 2018-12-03
1134620651 Innovative Development & Living Solutions of California Assisted Living Facility 32 West Sierra Ave, Clovis, CA 93612 2018-02-21
1427578616 Mariamajane Sengsiri Licensed Vocational Nurse 1244 Estabrook Ave., Clovis, CA 93612 2017-06-20
1417482464 Tiffanie Guy Pharmacist 2810 Willow Ave Apt 206, Clovis, CA 93612 2017-04-27
1194271833 Daniel Salinas Specialist/Technologist 1712 Harvard Ave., Clovis, CA 93612 2016-09-01
1386071447 Darra Hirsh Psychologist 334 Shaw Ave Ste 100, Clovis, CA 93612 2013-10-03
1437400793 Bashful Elephant Counselor 3097 Willow Suite 4, Clovis, CA 93612 2012-09-27
1588930432 Nghiem Gia Vu Pharmacist 695 W Herdn Ave, Clovis, CA 93612 2012-03-26
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Taxonomy Information

Taxonomy Code 103TC0700X
Grouping Behavioral Health & Social Service Providers
Classification Psychologist
Specialization Clinical

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1386071447 Darra Hirsh Psychologist 334 Shaw Ave Ste 100, Clovis, CA 93612 2013-10-03
1093154163 Stanley Frederick Littleworth Psychologist 4785 N Pinebury Way, Clovis, CA 93619-4626 2013-06-21
1275971665 Kenneth John Carr Psychologist 641 N Fowler Ave, Apt #255, Clovis, CA 93611-6610 2013-06-07
1831452564 Cara Jean Emes Psychologist 613 Harvard Ave, Suite 202, Clovis, CA 93612-1866 2012-06-18
1366672313 Matthew Thomas Tatum Psychologist 2343 Deauville Cir, Clovis, CA 93619-4292 2009-07-23
1053561472 Paula Jean Willis Psychologist 1920 N Burl Ave, Clovis, CA 93619-2865 2008-09-22
1851451603 Patricia Prater Psychologist 3128 Willow Ave Ste 102, Clovis, CA 93612-4746 2006-12-11
1245327626 Alexia Baca Morgan Psychologist 106 Pollasky, A, Clovis, CA 93612 2006-10-06
1235225764 Alexa Hilary Wasserman-toncheff Psychologist 3128 Willow, Suite 102, Clovis, CA 93612 2006-10-04
1215032784 John Lester Collins Psychologist 1600 Sutter Pl, Clovis, NM 88101-4611 2006-09-13
Find all providers in CLOVIS

Competitor

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City CLOVIS
Zip Code 93612

Improve Information

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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