Individual
ARIHA SHAH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4400 W 95TH ST, OAK LAWN, IL 60453-2654
(708) 684-5832
(708) 520-1986
Mailing address
29373 NETWORK PL, CHICAGO, IL 60673-1293
(847) 390-5900
(847) 390-4757
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
MC61158586
WA
103T00000X
Psychologist
Primary
071-011334
IL
390200000X
Student in an Organized Health Care Education/Training Program
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Other
Enumeration date
03/18/2021
Last updated
12/03/2024
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