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NPI Code Detail

MEDICARE: DR. RICHARD SAMUEL SINACOLA PHD

MEDICARE: DR. RICHARD SAMUEL SINACOLA PHD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1103T00000XPsychologist18820CA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
118820OTHERCAPSYCHOLOGIST STATE OF CAL

General Provider Information

NPI Number : 1952402943
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. RICHARD SAMUEL SINACOLA PHD
Provider Business Mailing Address
First Line : 77711 FLORA RD STE 206
Second Line :
City : PALM DESERT
State : CA
Zip : 92211-4103
Country : US
Telephone Number : 760-799-7351
Fax Number : 760-867-2263
Provider Business Practice Location Address
First Line : 77711 FLORA RD STE 206
Second Line :
City : PALM DESERT
State : CA
Zip : 92211-4103
Country : US
Telephone Number : 760-799-7351
Fax Number : 760-867-2263
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/25/2006
Last Update Date : 05/27/2025

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