Organization
SHIELDS & FIDANZA, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. MICHELLE FIDANZA (OWNER/CONTRACTOR)
(502) 345-8544
Entity
Organization
Contact information
Practice address
CHAMPION FARMS DRIVE, LOUISVILLE, KY 40241
(502) 345-8544
Mailing address
3211 CROSSHILL CT, PROSPECT, KY 40059-8174
(502) 345-8544
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
—
—
Other
Enumeration date
05/31/2006
Last updated
08/22/2020
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