Doctor Name: | DR. CLAUDIA S. FIDANQUE |
NPI Number: | 1376619296 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | PSY. D. |
License Number: | 14525-1 |
Business Practice Address: | 1886 Route 9 Garrison, NY - 105243701 |
Business Phone Number: | 8454248235 |
Business Fax Number: | 8454244696 |
Mailing Address: | 1886 Route 9, GARRISON |
State: | NY |
Postal Code: | 105243701 |
Phone Number: | 8454248235 |
Fax Number: | 8454244696 |
NPI Enumeration Date: | 11/24/2006 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 103TC0700X |
License Number: | 14525-1 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NY |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Psychologist |
Taxonomy Specialization: | Clinical |
Taxonomy Definition: |