Individual
SHACIARRA HAMILTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PSYD
Contact information
Practice address
701 DEVONSHIRE DR STE C11, CHAMPAIGN, IL 61820-7352
(217) 213-3405
(214) 403-9557
Mailing address
2702 N SKYLINE DR, URBANA, IL 61802-7835
(601) 880-6206
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
071.011224
IL
Other
Enumeration date
10/23/2024
Last updated
10/23/2024
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