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Individual
SHEA K FEDIGAN
Active
Individual
SHEA K FEDIGAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHD
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
PSY31606
CA
103TC0700X
Clinical Psychologist
10922
MA
103TC2200X
Clinical Child & Adolescent Psychologist
Primary
PSY31606
CA
Other
Enumeration date
08/13/2013
Last updated
04/28/2024
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