Provider Demographics
NPI:1740337914
Name:DELMONICO, RICHARD LAWRENCE (PHD)
Entity type:Individual
Prefix:DR
First Name:RICHARD
Middle Name:LAWRENCE
Last Name:DELMONICO
Suffix:
Gender:M
Credentials:PHD
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Mailing Address - Street 1:980 TRANCAS ST
Mailing Address - Street 2:SUITE 5
Mailing Address - City:NAPA
Mailing Address - State:CA
Mailing Address - Zip Code:94558-2933
Mailing Address - Country:US
Mailing Address - Phone:707-251-8610
Mailing Address - Fax:707-259-5416
Practice Address - Street 1:980 TRANCAS ST
Practice Address - Street 2:SUITE 5
Practice Address - City:NAPA
Practice Address - State:CA
Practice Address - Zip Code:94558-2933
Practice Address - Country:US
Practice Address - Phone:707-251-8610
Practice Address - Fax:707-259-5416
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-03
Last Update Date:2022-02-11
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
CAPSY12604103G00000X, 103TR0400X, 103TC1900X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103G00000XBehavioral Health & Social Service ProvidersClinical Neuropsychologist
No103TR0400XBehavioral Health & Social Service ProvidersPsychologistRehabilitation
No103TC1900XBehavioral Health & Social Service ProvidersPsychologistCounseling
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAPSY12604OtherLICENSE NUMBER