Provider Demographics
NPI:1437377900
Name:LADHANI, SHAMIN CATHERINE JAFFER (PSYD)
Entity Type:Individual
Prefix:DR
First Name:SHAMIN
Middle Name:CATHERINE JAFFER
Last Name:LADHANI
Suffix:
Gender:F
Credentials:PSYD
Other - Prefix:DR
Other - First Name:SHAMIN
Other - Middle Name:CATHERINE SALIM
Other - Last Name:JAFFER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PSYD
Mailing Address - Street 1:432 PACIFIC CT
Mailing Address - Street 2:
Mailing Address - City:WHEELING
Mailing Address - State:IL
Mailing Address - Zip Code:60090-5154
Mailing Address - Country:US
Mailing Address - Phone:847-873-0398
Mailing Address - Fax:
Practice Address - Street 1:1320 WISCONSIN AVE
Practice Address - Street 2:
Practice Address - City:RACINE
Practice Address - State:WI
Practice Address - Zip Code:53403-1978
Practice Address - Country:US
Practice Address - Phone:262-687-2699
Practice Address - Fax:262-687-2836
Is Sole Proprietor?:No
Enumeration Date:2007-04-23
Last Update Date:2008-03-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI2969-057103TC0700X
IL103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical