Provider Demographics
NPI:1114146545
Name:GIACALONE, ARTHUR VITO (PHD)
Entity Type:Individual
Prefix:DR
First Name:ARTHUR
Middle Name:VITO
Last Name:GIACALONE
Suffix:
Gender:M
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:605 PREAKNESS DR
Mailing Address - Street 2:
Mailing Address - City:WALNUT CREEK
Mailing Address - State:CA
Mailing Address - Zip Code:94597-3688
Mailing Address - Country:US
Mailing Address - Phone:925-256-9069
Mailing Address - Fax:925-280-1049
Practice Address - Street 1:936 DEWING AVE
Practice Address - Street 2:
Practice Address - City:LAFAYETTE
Practice Address - State:CA
Practice Address - Zip Code:94549-4290
Practice Address - Country:US
Practice Address - Phone:925-256-9069
Practice Address - Fax:925-280-1049
Is Sole Proprietor?:Yes
Enumeration Date:2007-04-24
Last Update Date:2014-04-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA11425103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical