Individual
DR. SHONDALE DELOACH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
820 S DAMEN AVE, CHICAGO, IL 60612-3728
(312) 569-6983
Mailing address
820 S DAMEN AVE, CHICAGO, IL 60612-3728
(312) 569-6983
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
071.008906
IL
103TC0700X
Clinical Psychologist
Primary
3161-57
WI
Other
Enumeration date
05/22/2014
Last updated
10/14/2014
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