Individual
ROSHNI SHAH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PSYD
Contact information
Practice address
778 W FRONTAGE RD STE 111, NORTHFIELD, IL 60093-1209
(847) 220-8317
Mailing address
778 W FRONTAGE RD STE 111, NORTHFIELD, IL 60093-1209
(847) 220-8317
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
071.009640
IL
Other
Enumeration date
11/02/2017
Last updated
07/08/2022
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