Provider Demographics
NPI:1790057917
Name:DIQUARTO, PAUL ANTHONY (BS)
Entity Type:Individual
Prefix:MR
First Name:PAUL
Middle Name:ANTHONY
Last Name:DIQUARTO
Suffix:
Gender:M
Credentials:BS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:620 E PLUMB LN STE 100
Mailing Address - Street 2:
Mailing Address - City:RENO
Mailing Address - State:NV
Mailing Address - Zip Code:89502-3562
Mailing Address - Country:US
Mailing Address - Phone:775-825-5822
Mailing Address - Fax:775-345-3147
Practice Address - Street 1:620 E PLUMB LN STE 100
Practice Address - Street 2:
Practice Address - City:RENO
Practice Address - State:NV
Practice Address - Zip Code:89502-3562
Practice Address - Country:US
Practice Address - Phone:775-825-5822
Practice Address - Fax:775-345-3147
Is Sole Proprietor?:No
Enumeration Date:2012-02-02
Last Update Date:2012-02-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health