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SHIRAZ TATA, PH.D.

PH.D.

Psychologist

NPI: 1336298504IndividualAccepts Medicare

Specialties, Licenses & Credentials

PsychologistPrimary

Psychologist

Code: 103T00000X

071-004963(IL)

CMS Specialties

PrimaryCLINICAL PSYCHOLOGIST

Education

SOUTHERN ILLINOIS UNIVERSITY SCHOOL OF MEDICINE

Class of 1993

Research & Publications (3)

Data courtesy of the U.S. National Library of Medicine (NLM). Ltrl is not affiliated with or endorsed by NLM.

Contact & Hours

Address
6072 BRYNWOOD DR STE 107
ROCKFORD, IL 61114

Quick Facts

NPI
1336298504
Entity Type
Individual
Gender
Female
Medicare
Accepted
Specialties
1
Locations
1
Years in Practice
33
Publications
3

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