Individual
DR. SHANNON LEIGH CALVERT OSUCHOWSKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PSY.D.
Contact information
Practice address
2948 ARTESIAN RD STE 112, NAPERVILLE, IL 60564-8559
(630) 428-7890
Mailing address
2948 ARTESIAN RD STE 112, NAPERVILLE, IL 60564-8559
(630) 428-7890
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
071008716
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
071008716
ILLINOIS DEPARTMENT OF PROFESSIONAL AND FINANCIAL REGULATION
IL
Enumeration date
08/16/2012
Last updated
10/31/2014
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