IndividualActive
John Fidanza, PSY.D.
NPI 1902801392 · Prescribing (Medical) Psychologist · Zachary, LA
Provider details
- NPI number
- 1902801392
- Entity type
- Individual
- Primary specialty
- Prescribing (Medical) PsychologistBehavioral Health & Social Service Providers
- Credential
- PSY.D.
- Sex
- Male
- Sole proprietor
- No
- License
- 1040MP (LA)
Specialties & taxonomies
Behavioral Health & Social Service Providers
Practice location
6351 Main St
Zachary, LA 70791-4038
Phone: (225) 306-2000
Fax: (225) 658-1282
Approximate (ZIP-level) locationGet directions
Mailing address
Po Box 770
Zachary, LA 70791-0770
Registry dates
- Enumerated
- 2005-06-14
- Last updated
- 2015-07-21
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.