Provider Demographics
NPI:1043999816
Name:VIANOVA PSYCHOLOGY, PLLC
Entity Type:Organization
Organization Name:VIANOVA PSYCHOLOGY, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/CLINICAL PSYCHOLOGIST
Authorized Official - Prefix:DR
Authorized Official - First Name:JOCELYN
Authorized Official - Middle Name:
Authorized Official - Last Name:DROEGE
Authorized Official - Suffix:
Authorized Official - Credentials:PHD
Authorized Official - Phone:630-492-0052
Mailing Address - Street 1:412 S. 2ND ST.
Mailing Address - Street 2:
Mailing Address - City:ST. CHARLES
Mailing Address - State:IL
Mailing Address - Zip Code:60174-2819
Mailing Address - Country:US
Mailing Address - Phone:630-492-0052
Mailing Address - Fax:
Practice Address - Street 1:412 S. 2ND ST.
Practice Address - Street 2:
Practice Address - City:ST. CHARLES
Practice Address - State:IL
Practice Address - Zip Code:60174-2819
Practice Address - Country:US
Practice Address - Phone:630-492-0052
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-07-17
Last Update Date:2023-07-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinicalGroup - Single Specialty