Individual
DR. SARAH VIDA PUCCIA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PSY.D.
Contact information
Practice address
3601 N ASHLAND AVE, CHICAGO, IL 60613-3660
(872) 222-9153
Mailing address
1324 W THORNDALE AVE, CHICAGO, IL 60660-3306
(773) 852-7119
(773) 784-4035
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
071.008339
IL
Other
Enumeration date
01/28/2013
Last updated
01/28/2013
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