Individual
RICHARD TYLER CIPRIANO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LCSW
Contact information
Practice address
5117B MAIN ST STE 5, DOWNERS GROVE, IL 60515-4602
(630) 426-9719
Mailing address
5117B MAIN ST STE 5, DOWNERS GROVE, IL 60515-4602
(630) 426-9719
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
149.026011
IL
Other
Enumeration date
04/24/2024
Last updated
04/24/2024
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