Individual
DR. NICHOLAS G. LATTANZIO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PSYD
Contact information
Practice address
405 ILLINOIS AVE UNIT 2C, ST CHARLES, IL 60174-2963
(630) 377-3535
Mailing address
405 ILLINOIS AVENUE, SUITES 2B, 2C, & 2D, ST. CHARLES, IL 60174
(630) 377-3535
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
071010700
IL
Other
Enumeration date
01/08/2022
Last updated
05/21/2024
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