Provider Demographics
NPI:1255476743
Name:D'ARCA, RICK J (PHD)
Entity Type:Individual
Prefix:
First Name:RICK
Middle Name:J
Last Name:D'ARCA
Suffix:
Gender:M
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:307 S JOHNSON ST
Mailing Address - Street 2:
Mailing Address - City:ADA
Mailing Address - State:OH
Mailing Address - Zip Code:45810-1425
Mailing Address - Country:US
Mailing Address - Phone:419-634-1670
Mailing Address - Fax:
Practice Address - Street 1:307 S JOHNSON ST
Practice Address - Street 2:
Practice Address - City:ADA
Practice Address - State:OH
Practice Address - Zip Code:45810-1425
Practice Address - Country:US
Practice Address - Phone:419-634-1670
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-02-21
Last Update Date:2013-04-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH5486103TB0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TB0200XBehavioral Health & Social Service ProvidersPsychologistCognitive & Behavioral