Doctor Name: | MS. AMANDA BETH SHELDON |
NPI Number: | 1063763001 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | B.S., M.A. |
License Number: | |
Business Practice Address: | 175 E Hawthorn Pkwy #235 Vernon Hills, IL - 600611463 |
Business Phone Number: | 8477378787 |
Business Fax Number: | 8478595885 |
Mailing Address: | 175 E Hawthorn Pkwy, #235 VERNON HILLS |
State: | IL |
Postal Code: | 600611463 |
Phone Number: | 8477378787 |
Fax Number: | 8478595885 |
NPI Enumeration Date: | 10/01/2012 |
NPI Last Update Date: | 08/22/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YM0800X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Mental Health |
Taxonomy Definition: |