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Search › Illinois › 103T00000X

Shiraz Tata, PH.D

NPI 1336298504 · on the registry since 2007

Practice

Address
6072 Brynwood Dr Ste 107
Rockford, IL 61114
Phone
(815) 519-2949
Fax
(815) 637-4483
Organisation at this address
Shiraz Tata Phd Llc
Connected Counseling
Kalm Oasis Therapy Llc
Beacon Of Enlightenment
Brynwood Counseling Inc.
Inferred from a shared address, not stated in the registry.
Clinicians at this address
19

Registry record

Primary taxonomy
103T00000X
103T00000X
Licence states on file
IL
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2018-06-18

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Illinois