Claudia S. Fidanque, PSY. D.
Individual provider Active NPI Clinical Psychologist · Garrison, NY
NPI 1376619296 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1376619296
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Clinical Psychologist 103TC0700X
- License
- 14525-1 (NY)
- Practice address
- 1886 Route 9
Garrison, NY 10524-3701 - Phone
- (845) 424-8235
- Fax
- (845) 424-4696
- NPI assigned
- Nov 24, 2006
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 14525-1 | NY | MD | Clinical Psychologist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | 14525-1 | NY | Yes |
Addresses
Primary practice location
1886 Route 9
Garrison, NY 10524-3701
Mailing address
1886 Route 9
Garrison, NY 10524-3701
Phone (845) 424-8235
Other providers in Garrison, NY
- Barbara Downey-Goldwasser
- Darrell Dwyer
- Janet Eisig
- Alberto Espinosa
- Lisa Espinosa
- Jillian Fitzgerald
- Ellen M Flynn
- Stephanie M Furst
- Alane Gahagan
- Garrison Union Free School District
All providers in Garrison, NY · Clinical Psychologist in New York
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.