| Shields & Fidanza, Llc | |
|
Champion Farms Drive Louisville KY 40241 | |
| (502) 345-8544 | |
| Not Available |
| Full Name | Shields & Fidanza, Llc |
|---|---|
| Speciality | Psychologist - Clinical |
| Location | Champion Farms Drive, Louisville, Kentucky |
| Authorized Official Name and Position | Michelle Fidanza (OWNER/CONTRACTOR) |
| Authorized Official Contact | 5023458544 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Shields & Fidanza, Llc 3211 Crosshill Ct Prospect KY 40059-8174 Ph: (502) 345-8544 | Shields & Fidanza, Llc Champion Farms Drive Louisville KY 40241 Ph: (502) 345-8544 |
| NPI Number | 1942247127 |
|---|---|
| Provider Enumeration Date | 05/31/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1942247127 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | (* (Not Available)) | Primary |
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