| Denise A Fiducia, Phd & Associates, Llc | |
|
855 E Golf Rd 2139 Arlington Heights IL 60005-5222 | |
| (847) 373-0991 | |
| (800) 207-5381 |
| Full Name | Denise A Fiducia, Phd & Associates, Llc |
|---|---|
| Speciality | Clinical Neuropsychologist |
| Location | 855 E Golf Rd, Arlington Heights, Illinois |
| Authorized Official Name and Position | Tracy L Freeze (PRACTICE MANAGER) |
| Authorized Official Contact | 2199268320 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Denise A Fiducia, Phd & Associates, Llc Po Box 2257 Chesterton IN 46304-0357 Ph: (219) 926-8320 | Denise A Fiducia, Phd & Associates, Llc 855 E Golf Rd 2139 Arlington Heights IL 60005-5222 Ph: (847) 373-0991 |
| NPI Number | 1023323045 |
|---|---|
| Provider Enumeration Date | 08/13/2010 |
| Last Update Date | 02/14/2011 |
| Medicare PECOS PAC ID | 5799974077 |
|---|---|
| Medicare Enrollment ID | O20110118001264 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1023323045 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103G00000X | Clinical Neuropsychologist | 071003832 (Illinois) | Primary |
| Provider Name | Denise A Fiducia |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1891748612 PECOS PAC ID: 7810972155 Enrollment ID: I20040622000182 |
| Provider Name | Neal Ross Bowen |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1063585933 PECOS PAC ID: 2163528472 Enrollment ID: I20070503000154 |
| Provider Name | Karen Burcham |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1750091773 PECOS PAC ID: 3870963093 Enrollment ID: I20230105000114 |
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