Provider Demographics
NPI:1528389905
Name:DIMARZIO, HILDY S (PSYD, LCSW)
Entity Type:Individual
Prefix:DR
First Name:HILDY
Middle Name:S
Last Name:DIMARZIO
Suffix:
Gender:F
Credentials:PSYD, LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:595 E COLORADO BLVD STE 616
Mailing Address - Street 2:
Mailing Address - City:PASADENA
Mailing Address - State:CA
Mailing Address - Zip Code:91101-2096
Mailing Address - Country:US
Mailing Address - Phone:626-945-0249
Mailing Address - Fax:
Practice Address - Street 1:595 E COLORADO BLVD STE 616
Practice Address - Street 2:
Practice Address - City:PASADENA
Practice Address - State:CA
Practice Address - Zip Code:91101-2096
Practice Address - Country:US
Practice Address - Phone:626-945-0249
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-06-19
Last Update Date:2010-06-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
102L00000X
CALCS218981041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
No102L00000XBehavioral Health & Social Service ProvidersPsychoanalyst