Individual
DR. SHANNON S. DOYLE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
11 W COLLEGE DR, SUITE B, ARLINGTON HEIGHTS, IL 60004-1900
(847) 814-9447
Mailing address
11 W COLLEGE DR, SUITE B, ARLINGTON HEIGHTS, IL 60004-1900
(847) 814-9447
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
—
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1623145
BCBS PROVIDER #
IL
Enumeration date
06/05/2007
Last updated
07/08/2007
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