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Individual
KATHERINE SHADISH
Active
Individual
KATHERINE SHADISH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHD
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
30634
CA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
06/26/2013
Last updated
01/15/2019
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