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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

ATHENA DACANAY, PSYD

Active

ATHENA DACANAY, PSYD is a Clinical Psychologist healthcare provider located in BLOOMINGTON, Illinois. NPI 1255853396 is currently active in the NPPES registry. Verify at CMS.

Clinical Psychologist · BLOOMINGTON, IL

Registration Details

NPI Number
1255853396
Provider Type
Individual
Gender
Female
NPI Issued
Jul 11, 2017 (9.0842402940434 yrs)
Last Updated
Jul 11, 2017
License
071.009576 (IL)

Practice Information

Address
808 S ELDORADO RD STE 102
BLOOMINGTON, IL, 617046075
Browse IL providers · Browse ZIP 61704
Phone
3097063190
Fax
3097063190
Primary Specialty
Clinical Psychologist
103TC0700X

Other Clinical Psychologist Providers in BLOOMINGTON, IL

Name Credential NPI
DR. MARY K DELLORTO PSY.D. 1669431912
DR. MICHAEL PATRICK KAHWAJI PSYD 1679509806
SETH R. HATLELID PSY.D. 1447270368
CHERI L. MILLER PSY.D. 1033132790
DR. MOLLIE MARIE HANSON PSYD 1952315772
MR. NEIL ALLEN JEPSON PHD 1689687709
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.