Organization
DELOACH BEHAVIORAL HEALTH, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SHONDALE DELOACH PH.D. (CLINICAL PSYCHOLOGIST)
(216) 513-1862
Entity
Organization
Contact information
Practice address
3166 N LINCOLN AVE, STE 425, CHICAGO, IL 60657-3133
(216) 513-1862
Mailing address
3166 N LINCOLN AVE, STE 425, CHICAGO, IL 60657-3133
(216) 513-1862
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
071008906
IL
Other
Enumeration date
10/25/2016
Last updated
10/25/2016
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