person
Shanna Marie Kurth, PHD
Clinical Neuropsychologist in Peoria, Illinois
NPI 1891800603

Shanna Marie Kurth is a Clinical Neuropsychologist based in Peoria, IL. Shanna Marie Kurth practices in Peoria, IL and has the professional credentials of PHD. The NPI Number for Shanna Marie Kurth is 1891800603 and holds a License No. 071004929 (Illinois).

The current practice location address for Shanna Marie Kurth is 3100 N Dries Ln, Peoria, IL and can be reached out via phone at 309-686-9005 and via fax at 309-686-9020. You can also correspond with Shanna Marie Kurth through the mailing address at 3100 N DRIES LN, PEORIA, IL - 61604-1265 (mailing address contact number: 309-686-9005).

Location: 3100 N Dries Ln, Peoria, IL, 61604-1265
person
Provider Profile Details
NPI Number
1891800603
Provider Name
Shanna Marie Kurth
Credential
PHD
Provider Entity Type
Individual
Gender
Female
Address
3100 N Dries Ln, Peoria, IL, 61604-1265
Phone Number
309-686-9005
Fax Number
309-686-9020
Provider Enumeration Date
08/20/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
0007226636 01 IL BCBS OF IL
institution
Provider Business Practice Location Address Details
Address
3100 N Dries Ln
City
State
Zip
61604-1265
Phone Number
309-686-9005
Fax Number
309-686-9020
person
Provider Business Mailing Address Details
Address
3100 N Dries Ln
City
State
Zip
61604-1265
Phone Number
309-686-9005
Fax Number
309-686-9020
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Clinical Neuropsychologist
Speciality
-
Taxonomy
License No.
071004929 (Illinois)
Definition
A clinical psychologist who applies principles of assessment and intervention based upon the scientific study of human behavior as it relates to normal and abnormal functioning of the central nervous system. The specialty is dedicated to enhancing the understanding of brain-behavior relationships and the application of such knowledge to human problems.
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