Individual
DR. PAULA T DICANIO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHD.
Contact information
Practice address
2213 LAKESIDE DR, BANNOCKBURN, IL 60015-1265
(847) 604-9441
(847) 604-9445
Mailing address
2213 LAKESIDE DR, BANNOCKBURN, IL 60015-1265
(847) 604-9441
(847) 604-9445
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
—
IL
Other
Enumeration date
04/10/2007
Last updated
04/03/2021
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