Organization
SHIELDS & FIDANZA, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. DAWN MARIE DENNA (OFFICE MANAGER)
(502) 423-7222
Entity
Organization
Contact information
Practice address
8141 NEW LAGRANGE RD, LOUISVILLE, KY 40222-4682
(502) 423-7222
(502) 423-7277
Mailing address
8141 NEW LAGRANGE RD, LOUISVILLE, KY 40222-4682
(502) 423-7222
(502) 423-7277
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
—
—
Other
Enumeration date
01/11/2007
Last updated
08/22/2020
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