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Organization

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Organization subpart
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Provider details

NPI number
Authorized official
POOJA SHAH PSYD (CLINICAL PSYCHOLOGIST)
(630) 747-4092
Entity
Organization

Contact information

Practice address
932 COLETTA CIR, NAPERVILLE, IL 60563-3615
(331) 444-2505
(331) 333-3903
Mailing address
932 COLETTA CIR, NAPERVILLE, IL 60563-3615
(630) 747-4092
(331) 333-3903

Taxonomy

Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
103TA0400X
Addiction (Substance Use Disorder) Psychologist
103TA0700X
Adult Development & Aging Psychologist
103TB0200X
Cognitive & Behavioral Psychologist
103TC0700X
Clinical Psychologist
103TC1900X
Counseling Psychologist
103TF0000X
Family Psychologist
103TH0004X
Health Psychologist

Other

Enumeration date
02/27/2024
Last updated
02/27/2024
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