Individual
JAMES M VIGGIANO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHD
Contact information
Practice address
6975 REDANSA DR, ROCKFORD, IL 61108-1201
(815) 398-7000
(815) 398-0671
Mailing address
6975 REDANSA DR, ROCKFORD, IL 61108-1201
(815) 398-7000
(815) 398-0671
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
071004266
IL
Other
Enumeration date
10/05/2006
Last updated
07/29/2014
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