DataLabs
datalabs.health made in the usa
DataLabs Facebook Wall   Like   Follow DataLabs on Twitter   Tweet  
Contact us Sign in |  Documentation | 
NPI Code Detail

MEDICARE: DR. CHELSEA E FIDUCCIA PHD

MEDICARE: DR. CHELSEA E FIDUCCIA PHD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1103TC0700XClinical Psychologist37370TX
2103T00000XPsychologist37370TX

General Provider Information

NPI Number : 1578083655
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. CHELSEA E FIDUCCIA PHD
Provider Business Mailing Address
First Line : 808 CLEARWATER LN
Second Line :
City : KELLER
State : TX
Zip : 76248-2853
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 9696 SKILLMAN ST STE 170
Second Line :
City : DALLAS
State : TX
Zip : 75243-8253
Country : US
Telephone Number : 469-680-3500
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/21/2017
Last Update Date : 11/10/2025

Similar Medicare Providers

1477125110 — ALICIA TRAPP LCDC
Practice Location Address:
9696 SKILLMAN ST STE 170
DALLAS, TX
75243-8253
Practice Phone: 469-680-3500
Practice Fax:
1477529352 — RESIDENTIAL VISITS ASSOCIATION
Practice Location Address:
9696 SKILLMAN ST
DALLAS, TX
75243-8253
Practice Phone: 214-348-7611
Practice Fax: 214-348-0129
1588748834 — MR. ORAN LAMERO PRYOR M.A., LPC
Practice Location Address:
9696 SKILLMAN ST STE 170
DALLAS, TX
75243-8253
Practice Phone: 469-680-6500
Practice Fax:
1356869085 — TINA BARBETTE DOYLE-HINES LPC
Practice Location Address:
9696 SKILLMAN ST STE 170
DALLAS, TX
75243-8253
Practice Phone: 469-680-3500
Practice Fax:
1801390166 — KEAH ODOM
Practice Location Address:
9696 SKILLMAN ST STE 170
DALLAS, TX
75243-8253
Practice Phone: 469-680-3500
Practice Fax:
1992328918 — JUSTIN OWENS
Practice Location Address:
9696 SKILLMAN ST STE 170
DALLAS, TX
75243-8253
Practice Phone: 469-680-3500
Practice Fax:

Directions to “ DR. CHELSEA E FIDUCCIA PHD” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.