Paula T Dicanio is a Clinical in Bannockburn, Illinois. Paula T Dicanio practices all healthcare services and medical treatments related to Clinical. The NPI Number for Paula T Dicanio is 1952524019. The last update date is 2021-04-03.
Paula T Dicanio's current location address is 2213 Lakeside Dr, Bannockburn, Illinois. You can contact this provider via phone number 8476049441 and fax number 8476049445. The mailing address for Paula T Dicanio is 2213 Lakeside Dr, Bannockburn, Illinois. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Paula T Dicanio |
|---|---|
| Address | 2213 Lakeside Dr, Bannockburn, Illinois |
| Phone Number | 8476049441 |
| Fax Number | 8476049445 |
| Sole Proprietor | Y |
| Credentials | PHD. |
NPI Number Detail
| NPI Number | 1952524019 |
|---|---|
| Provider Enumeration Date | 2007-04-10 |
| Last Updated Date | 2021-04-03 |
Provider Mailing Address Detail
| Address | 2213 Lakeside Dr |
|---|---|
| City | Bannockburn |
| State | Illinois (IL) |
| Post Code | 600151265 |
| Phone Number | 8476049441 |
| Fax Number | 8476049445 |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 103Tc0700X |
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Definition: A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in |
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Post Comment/ Review Below
What is the Paula T Dicanio's 1952524019?
The Paula T Dicanio's NPI (National Provider Identifier) Number is 1952524019. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Could you please provide the complete street address where Paula T Dicanio is physically located?
The Paula T Dicanio is physically situated at the following address: 2213 Lakeside Dr, Bannockburn, IL, 600151265.
What is Paula T Dicanio's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?
The primary area of medical expertise for Paula T Dicanio is Clinical, and the corresponding taxonomy classification code for this specialized field is 103Tc0700X.
On what date was the 1952524019 assigned to Paula T Dicanio?
The Paula T Dicanio was issued its 1952524019 on 2007-04-10, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
When was the Paula T Dicanio's information last updated?
The Paula T Dicanio's information was last updated on 2021-04-03.