Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
SHIRAZ P TATA, PH.D.
ActiveSHIRAZ P TATA, PH.D. is a Psychologist healthcare provider located in ROCKFORD, Illinois. NPI 1336298504 is currently active in the NPPES registry. Verify at CMS.
Psychologist · ROCKFORD, IL
Registration Details
- NPI Number
- 1336298504
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Jan 9, 2007 (19.641120330744 yrs)
- Last Updated
- Jun 18, 2018
- License
-
071-004963 (IL)
Practice Information
- Address
-
6072 BRYNWOOD DR STE 107ROCKFORD, IL, 61114Browse IL providers · Browse ZIP 61114
- Phone
- 8155192949
- Fax
- 8156374483
- Primary Specialty
-
Psychologist
103T00000X
Other Psychologist Providers in ROCKFORD, IL
| Name | Credential | NPI |
|---|---|---|
| RENEE A MCARDLE SR. | PSY.D. | 1730258898 |
| PETER ANGELO ZAMMUTO | PSY.D. | 1609643519 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.