DR. Shanta Kanukollu, PH.D.

NPI #1942689435 in Oak Lawn, Illinois

Provider Information

NPI Number
1942689435
Entity Type
Individual
Name
DR. Shanta Kanukollu, PH.D.
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Psychologist - Clinical
Credential
PH.D.
Enumeration Date
May 29, 2015
Last Updated
May 29, 2015

Practice Location

Address
10201 S CICERO AVE
ZIP Code
60453-4098
Phone
(847) 377-4496

Specialties & Taxonomy Codes

Specialty
Psychologist - ClinicalClinical

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