# DR. DEAN WOODROW SHANDY

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1356786198
- **Gender:** Man
- **Credential:** D.O.

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 2084P0800X | Psychiatry Physician | O-1419 | ID | — |
| 2084P0800X | Psychiatry Physician | OT015224 | PA | — |
| 2084P0804X | Child & Adolescent Psychiatry Physician | 58.030415 | OH | Yes |
| 2084P0804X | Child & Adolescent Psychiatry Physician | O-1419 | ID | Yes |
| 208D00000X | General Practice Physician | OS017403 | PA | — |

## Other

- **Enumeration date:** 05/07/2013
- **Last updated:** 04/09/2026

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 103243408 | — | PA |
| 01 | — | 16721C | WY STATE LIC | WY |
| 01 | — | MED-PHYS-COM-LIC-135 | MT STATE LICENSE | MT |
| 01 | — | O-1419 | ID STATE MED LIC | ID |
| 01 | — | OS017403 | STATE LICENSE NUMBER | PA |