Individual
SHARON SONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
909 E PALATINE RD, PALATINE, IL 60074-5551
(847) 776-1400
(847) 776-1424
Mailing address
909 E PALATINE RD, PALATINE, IL 60074-5551
(847) 776-1400
(847) 776-1424
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
071-006607
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
01618781
BC/BS
IL
01
—
P00141499
MEDICARE RAILROAD
IL
Enumeration date
12/15/2005
Last updated
03/01/2016
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