Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Justin Dallacqua, JD, PSYD

Individual provider Psychologist · NPI 1780059584

Justin Dallacqua, JD, PSYD is a Psychologist in Flagstaff, Arizona. Practices as a sole proprietor. Licensed in Arizona.

Licensed in
AZ
In the registry since
2015
What do these letters mean?
PSYD — Doctor of Psychology
A doctoral psychologist trained primarily for clinical practice.

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Practice location Address checks out

408 N Kendrick St Ste 3
Flagstaff, AZ 86001-1582
Phone: (602) 456-2148
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Psychologist (primary) Taxonomy 103T00000X · Licence 4681 (AZ)

Record details

NPI number1780059584
Entity typeIndividual (Type 1)
GenderMale
Credentials JD , PSYD
Sole proprietorYes
NPI enumeratedDecember 4, 2015
Last updated in NPPESDecember 4, 2015

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