Individual provider · Type 1 NPI

John Francis Fidanza Iii, PSY.D.

Prescribing (Medical) Psychologist · Zachary, LA

NPI number 1902801392 Active

Practice location

6351 Main St
Zachary, LA 70791-4038

Fax (225) 658-1282

Mailing address

PO Box 770
Zachary, LA 70791-0770

Specialties and licenses

TaxonomyCodeLicense
Prescribing (Medical) Psychologist Primary 103TP0016X1040MP (LA)

Prescribing (Medical) Psychologist: 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has received from the state board of psychology a current certificate granting prescriptive authority, which has not been revoked or…

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About NPI 1902801392

John Francis Fidanza Iii, PSY.D.'s National Provider Identifier is 1902801392, issued on Jun 14, 2005. The primary taxonomy on file is Prescribing (Medical) Psychologist (103TP0016X), and the practice location is in Zachary, LA. The record was last updated on Jul 21, 2015.