Organization
DR. SHANTELLE AND ASSOCIATES, LTD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SHANTELLE WHITEHEAD PSYD (OWNER)
(312) 339-9832
Entity
Organization
Contact information
Practice address
552 S WASHINGTON ST STE 115, NAPERVILLE, IL 60540-6669
(312) 339-9832
(331) 999-3971
Mailing address
552 S WASHINGTON ST STE 115, NAPERVILLE, IL 60540-6669
(312) 339-9832
(630) 857-9101
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
—
—
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
—
—
Other
Enumeration date
07/12/2013
Last updated
05/25/2021
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