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

Theresa Marie Dicamillo, MEDICALASSISTANT

Individual provider Prescribing (Medical) Psychologist · NPI 1710362215

Theresa Marie Dicamillo, MEDICALASSISTANT is a Prescribing (Medical) Psychologist in Wheat Ridge, Colorado. Practices as a sole proprietor. Licensed in Colorado.

Licensed in
CO
In the registry since
2015

Practice location Address checks out

4851 Independence St
Wheat Ridge, CO 80033-6715
Phone: (303) 432-5040
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Prescribing (Medical) Psychologist (primary) Taxonomy 103TP0016X · Licence 2745171 (CO)

Record details

NPI number1710362215
Entity typeIndividual (Type 1)
GenderFemale
Credentials MEDICALASSISTANT
Sole proprietorYes
NPI enumeratedJuly 25, 2015
Last updated in NPPESJuly 25, 2015