Organization · Type 2 NPI

Shiraz Tata PHD LLC

Clinical Psychologist · Rockford, IL

NPI number 1083109524 Active

Practice location

6072 Brynwood Dr Ste 107
Rockford, IL 61114

Specialties and licenses

TaxonomyCodeLicense
Clinical Psychologist Primary 103TC0700X071.04963 (IL)

Clinical Psychologist: A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of discip…

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About NPI 1083109524

Shiraz Tata PHD LLC's National Provider Identifier is 1083109524, issued on Jun 27, 2018. The primary taxonomy on file is Clinical Psychologist (103TC0700X), and the practice location is in Rockford, IL. The record was last updated on Aug 1, 2018.