John Nicholas Canzona in Homewood - Clinical
John Nicholas Canzona - NPI 1427168491
John Nicholas Canzona is a Clinical in Homewood, Illinois. John Nicholas Canzona practices all healthcare services and medical treatments related to Clinical. The NPI Number for John Nicholas Canzona is 1427168491. The last update date is 2007-07-08.
John Nicholas Canzona's current location address is 18132 S. Martin, Homewood, Illinois. You can contact this provider via phone number 7089573662 and fax number 7089573695. The mailing address for John Nicholas Canzona is 18132 S. Martin, Homewood, Illinois. To know further, please read the information below!
Provider Profile Detail
| Provider Name | John Nicholas Canzona |
|---|---|
| Address | 18132 S. Martin, Homewood, Illinois |
| Phone Number | 7089573662 |
| Fax Number | 7089573695 |
| Sole Proprietor | Y |
| Credentials | PSY.D. |
NPI Number Detail
| NPI Number | 1427168491 |
|---|---|
| Provider Enumeration Date | 2006-08-30 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 18132 S. Martin |
|---|---|
| City | Homewood |
| State | Illinois (IL) |
| Post Code | 604302106 |
| Phone Number | 7089573662 |
| Fax Number | 7089573695 |
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 unique provider identifier assigned to John Nicholas Canzona?
The John Nicholas Canzona has been issued the NPI (National Provider Identifier) 1427168491 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Could you share the physical location details of John Nicholas Canzona?
The John Nicholas Canzona is situated at 18132 S. Martin, in the city of Homewood, state of IL, with the zip code 604302106.
What is John Nicholas Canzona's specialized field of practice, and what is the corresponding taxonomy classification code?
The John Nicholas Canzona's area of specialization is Clinical, and the corresponding taxonomy code that categorizes this field of practice is 103Tc0700X.
On what date did the John Nicholas Canzona receive its 1427168491 assignment from the Centers for Medicare & Medicaid Services?
The John Nicholas Canzona was assigned its 1427168491 by the Centers for Medicare & Medicaid Services on 2006-08-30.
When was the information related to John Nicholas Canzona most recently updated or refreshed?
The details pertaining to the John Nicholas Canzona, including its address, specialty, and other relevant information, were last updated or refreshed on 2007-07-08.