Doctor Name: | DENISE M DIGERONIMO |
NPI Number: | 1083970412 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | |
License Number: | |
Business Practice Address: | 6980 Chestnut St Gilroy, CA - 950206635 |
Business Phone Number: | 4088427138 |
Business Fax Number: | 4087789672 |
Mailing Address: | 6980 Chestnut St, GILROY |
State: | CA |
Postal Code: | 950206635 |
Phone Number: | 4088427138 |
Fax Number: | 4087789672 |
NPI Enumeration Date: | 04/10/2012 |
NPI Last Update Date: | 04/10/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YA0400X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Addiction (Substance Use Disorder) |
Taxonomy Definition: |