Organization
DR LUCIA LICAVOLI PHD PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LUCIA LICAVOLI PHD (OWNER)
(630) 330-4191
Entity
Organization
Contact information
Practice address
24W788 75TH ST, NAPERVILLE, IL 60565
(630) 330-4191
Mailing address
3S101 ROCKWELL ST UNIT 886, WARRENVILLE, IL 60555-2992
(630) 330-4191
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
071.004881
IL
Other
Enumeration date
05/07/2013
Last updated
05/14/2018
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