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).
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 |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 103TC0700X |
Psychologist Specialization: Clinical |
PSY7595 | CA | Behavioral Health & Social Service Providers |
Street Address |
642 POLLASKY AVE #210 |
City | CLOVIS |
State | CA |
Zip Code | 93612-1875 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1336261833 | Michael D. Zimmerman | Psychologist | 642 Pollasky Ave, Suite 210, Clovis, CA 93612-1875 | 2007-04-04 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1235778002 | Prieto Dental Corporation | Dentist | 2320 Clovis Avenue, Suite 102, Clovis, CA 93612 | 2019-12-27 |
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 |
Find all providers in zip 93612 |
Taxonomy Code | 103TC0700X |
Grouping | Behavioral Health & Social Service Providers |
Classification | Psychologist |
Specialization | Clinical |
Definition to come... |
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 |
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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.