About
Shiraz P. Tata is a Psychologist in Rockford, Illinois. She attended and graduated from Southern Illinois University School Of Medicine in 1993. She has over 17 years of experience. She is affiliated with Shiraz Tata Phd LLC (also known as Shiraz P. Tata). Shiraz P. Tata is a group member of . Contact Shiraz P. Tata to request her Medicare information, payment methods she accepts, or to book an appointment.
Basic Data
PECOS ID: 4385980812
Entity Type: Individual; Not Sole Proprietor
Accepts Med Assignment: She does accept the payment amount Medicare approves and not to bill you for more than the Medicare deductible and coinsurance.
Organization Name: Shiraz Tata Phd LLC
Gender
Female
Years in Practice
17 years
Healthcare Provider Taxonomy
- Code: 103T00000X
- Grouping: Behavioral Health & Social Service Providers
- Classification: Psychologist
Credentials
- Doctor of Philosophy (PH.D.)
Group Practices
Group practices this therapist belongs to includes:
| Address | 6072 Brynwood Dr |
|---|---|
| Suite 107 | |
| Rockford, IL 61114-5829 | |
| Group PAC ID | |
| Group Members | |
Licenses
| Name | License Number | State |
|---|---|---|
| Psychologist | 071-004963 Verify | IL |
Education
| School | Year Graduated |
|---|---|
| Southern Illinois University School Of Medicine | 1993 |
Practice Locations
6072 Brynwood Dr Ste 107
Rockford, IL 61114
Phone Number: (815) 519-2949
Fax Number: (815) 637-4483
6072 Brynwood Dr
Suite 107
Rockford, IL 61114-5829
Phone Number: (815) 519-2949
Therapists Near Rockford, IL
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