Provider Demographics
NPI:1427231653
Name:PIERACCI, ANTONIA MOROCCO (PHD)
Entity Type:Individual
Prefix:DR
First Name:ANTONIA
Middle Name:MOROCCO
Last Name:PIERACCI
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:600 S. CHERRY STREET SUITE 825
Mailing Address - Street 2:
Mailing Address - City:DENVER
Mailing Address - State:CO
Mailing Address - Zip Code:80246-4310
Mailing Address - Country:US
Mailing Address - Phone:303-656-5189
Mailing Address - Fax:
Practice Address - Street 1:600 S CHERRY ST STE 825
Practice Address - Street 2:
Practice Address - City:DENVER
Practice Address - State:CO
Practice Address - Zip Code:80246-1795
Practice Address - Country:US
Practice Address - Phone:303-656-0518
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-12-11
Last Update Date:2014-12-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY016723103TC0700X
COPSY-3312103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical