Shawn Daugherty PSY.D.

NPI 1154635712 - Psychologist - 103T00000X

NPI Details
NPI 1154635712
Gender Male
Enumeration Date 08/05/2010
Last Updated 08/05/2010
Entity Type Individual
Active Over 7 years ago
Practice Location
456 CENTRAL AVENUE
201
NORTHFIELD IL, 60093, US
Phone (773) 852-9869
Fax
Business Location
1750 W JULIAN ST
#4
CHICAGO IL, 60622-2110, US
Phone (773) 852-9869
Fax
Toxanomy
Taxonomy Code 103T00000X
License State Illinois
License Number 071006371
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According to our database, Dr. Shawn Daugherty PSY.D. NPI is 1154635712, taxonomy code is 103T00000X and license number is 071006371, license state is located at Illinois. Shawn Daugherty PSY.D. physically located at 456 Central Avenue, Northfield IL, 60093. NPI Number Shawn Daugherty PSY.D. has the Individual type.

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1154635712 NPI number is provided on an as is basis without warranty of any kind. 1154635712 is maintained by the National Plan & Provider Enumeration System. The contents of Shawn Daugherty PSY.D. are for informational purposes only.