Provider Demographics
NPI:1366644759
Name:DICOCCO, JANE D (DO)
Entity Type:Individual
Prefix:
First Name:JANE
Middle Name:D
Last Name:DICOCCO
Suffix:
Gender:F
Credentials:DO
Other - Prefix:
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Mailing Address - Street 1:10299 WOODMAN RD
Mailing Address - Street 2:
Mailing Address - City:GLEN ALLEN
Mailing Address - State:VA
Mailing Address - Zip Code:23060-4419
Mailing Address - Country:US
Mailing Address - Phone:804-727-8517
Mailing Address - Fax:804-727-8580
Practice Address - Street 1:4915 RADFORD AVE
Practice Address - Street 2:
Practice Address - City:RICHMOND
Practice Address - State:VA
Practice Address - Zip Code:23230-3528
Practice Address - Country:US
Practice Address - Phone:804-359-3370
Practice Address - Fax:804-359-1649
Is Sole Proprietor?:No
Enumeration Date:2007-06-05
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
VA01020502382084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry