Dr Diana Louise Trichilo, PHD, ABPDN is a
Clinical Neuropsychologist based in Sebastopol, California. Dr Diana Louise Trichilo is licensed to practice in California (license number PSY 16784) and her current practice location is
450 Pitt Ave, Suite 3, Sebastopol, California. She can be reached at her office (for appointments etc.) via phone at
(707) 824-1130.
NPI number for Dr Diana Louise Trichilo is 1003149279 and her current mailing address is Po Box 2795, Sebastopol, California. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1003149279.
Healthcare Provider's Profile
| Full Name | Dr Diana Louise Trichilo |
|---|
| Gender | Female |
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| Speciality | Clinical Neuropsychologist |
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| Location | 450 Pitt Ave, Sebastopol, California |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1003149279
- Provider Enumeration Date: 09/04/2009
- Last Update Date: 03/06/2017
Medical Identifiers
Medical identifiers for Dr Diana Louise Trichilo such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1003149279 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 103T00000X | Psychologist | PSY 16784 (California) | Secondary |
| 103G00000X | Clinical Neuropsychologist | PSY 16784 (California) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Diana Louise Trichilo is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Dr Diana Louise Trichilo, PHD, ABPDN
Po Box 2795,
Sebastopol, CA 95473-2795
Ph: (707) 824-1130 | Dr Diana Louise Trichilo, PHD, ABPDN
450 Pitt Ave, Suite 3,
Sebastopol, CA 95472-3747
Ph: (707) 824-1130 |
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