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Dr. John Francis Fidanza III, PSYD
Prescribing (Medical) Psychologist in Zachary, Louisiana
NPI 1902801392

John Francis Fidanza III is a Prescribing (Medical) Psychologist based in Zachary, LA and is specialized in Prescribing (Medical). John Francis Fidanza III practices in Zachary, LA and has the professional credentials of PSYD. The NPI Number for John Francis Fidanza III is 1902801392 and holds a License No. 1040MP (Louisiana).

The current practice location address for John Francis Fidanza III is 6351 Main St, Zachary, LA and can be reached out via phone at 225-306-2000 and via fax at 225-658-1282.

Location: 6351 Main St, Zachary, LA, 70791-0770
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1902801392
Provider Name
John Francis Fidanza III
Credential
PSYD
Provider Entity Type
Individual
Gender
Male
Address
6351 Main St, Zachary, LA, 70791-0770
Phone Number
225-306-2000
Fax Number
225-658-1282
Provider Enumeration Date
06/14/2005
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
2125958 05 LA
institution
Provider Business Practice Location Address Details
Address
6351 Main St
City
Zachary
State
Louisiana
Zip
70791-4038
Phone Number
225-306-2000
Fax Number
225-658-1282
person
Provider Business Mailing Address Details
Address
6351 Main St
City
Zachary
State
Louisiana
Zip
70791-4038
Phone Number
225-306-2000
Fax Number
225-658-1282
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Psychologist
Speciality
Prescribing (Medical)
Taxonomy
103TP0016X
License No.
1040MP (Louisiana)
Definition
A licensed, doctoral-level psychologist authorized to prescribe and has undergone specialized education and training in preparation for prescriptive practice and has passed an examination accepted by the state board of psychology relevant to establishing competence for prescribing, and has received from the state board of psychology a current certificate granting prescriptive authority, which has not been revoked or suspended.
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