NPI 1891800603

Shanna Marie Kurth, PHD

Practitioner Clinical Neuropsychologist Peoria, IL

Practice location

Address: 3100 N Dries Ln STE 303, Peoria, IL 61604-1265
Phone: (309) 686-9005
Fax: (309) 686-9020

Registered specialties

Clinical Neuropsychologist Primary

Behavioral Health & Social Service Providers Taxonomy 103G00000X Licence 071004929 (IL)

Other Clinical Neuropsychologist providers in Illinois →

Registry record

NPI: 1891800603
Entity type: Individual
Sex (as registered): Female
NPI issued: 20 Aug 2006
Record last updated: 20 May 2013

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.