Individual provider · Type 1 NPI

Shanta Kanukollu, PhD

Clinical Psychologist · Oak Lawn, IL

NPI number 1942689435 Active

Practice location

10201 S Cicero Ave
Oak Lawn, IL 60453-4098

Call (847) 377-4496 Map

Specialties and licenses

TaxonomyCodeLicense
Clinical Psychologist Primary 103TC0700X071.008400 (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 1942689435

Shanta Kanukollu, PhD's National Provider Identifier is 1942689435, issued on May 29, 2015. The primary taxonomy on file is Clinical Psychologist (103TC0700X), and the practice location is in Oak Lawn, IL. The record was last updated on May 29, 2015.