| Dr Lucia Licavoli Phd Pc | |
|
24w788 75th St Naperville IL 60565 | |
| (630) 330-4191 | |
| Not Available |
| Full Name | Dr Lucia Licavoli Phd Pc |
|---|---|
| Speciality | Psychologist - Clinical |
| Location | 24w788 75th St, Naperville, Illinois |
| Authorized Official Name and Position | Lucia Licavoli (OWNER) |
| Authorized Official Contact | 6303304191 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Lucia Licavoli Phd Pc 3s101 Rockwell St Unit 886 Warrenville IL 60555-2992 Ph: (630) 330-4191 | Dr Lucia Licavoli Phd Pc 24w788 75th St Naperville IL 60565 Ph: (630) 330-4191 |
| NPI Number | 1275978082 |
|---|---|
| Provider Enumeration Date | 05/07/2013 |
| Last Update Date | 05/14/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1275978082 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | 071.004881 (Illinois) | Primary |
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