Organization
KIDS SPOT THERAPY
Active
Organization
KIDS SPOT THERAPY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SHELLY SCAMARDO PSY.D. (OWNER)
(224) 707-0156
Entity
Organization
Contact information
Practice address
330 E. MAIN STREET #216, BARRINGTON, IL 60010
(224) 707-0156
Mailing address
1025 KINGWOOD LANE, LAKE ZURICH, IL 60047
(224) 707-0156
Taxonomy
Speciality
Code
Description
License number
State
103TC1900X
Counseling Psychologist
Primary
—
—
1041C0700X
Clinical Social Worker
—
—
Other
Enumeration date
10/03/2021
Last updated
10/03/2021
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