Organization
DENISE A FIDUCIA, PHD & ASSOCIATES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TRACY L FREEZE (PRACTICE MANAGER)
(219) 926-8320
Entity
Organization
Contact information
Practice address
855 E GOLF RD, 2139, ARLINGTON HEIGHTS, IL 60005-5222
(847) 373-0991
(800) 207-5381
Mailing address
PO BOX 2257, CHESTERTON, IN 46304-0357
(219) 926-8320
(219) 926-3524
Taxonomy
Speciality
Code
Description
License number
State
103G00000X
Clinical Neuropsychologist
Primary
071003832
IL
Other
Enumeration date
08/13/2010
Last updated
02/14/2011
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