Individual provider · Type 1 NPI

Athena Dacanay, PSYD

Clinical Psychologist · Bloomington, IL

NPI number 1255853396 Active

Practice location

808 S Eldorado Rd Ste 102
Bloomington, IL 61704-6075

Fax (309) 706-3190

Mailing address

PO Box 604
Bloomington, IL 61702-0604

Specialties and licenses

TaxonomyCodeLicense
Clinical Psychologist Primary 103TC0700X071.009576 (IL)

Clinical Psychologist: 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 breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of discip…

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About NPI 1255853396

Athena Dacanay, PSYD's National Provider Identifier is 1255853396, issued on Jul 11, 2017. The primary taxonomy on file is Clinical Psychologist (103TC0700X), and the practice location is in Bloomington, IL. The record was last updated on Jul 11, 2017.