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Individual
DR. SHANE GREGORY OWENS
Active
Individual
DR. SHANE GREGORY OWENS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PH.D.
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
015938
NY
103TB0200X
Cognitive & Behavioral Psychologist
015938
NY
103TC0700X
Clinical Psychologist
Primary
015938
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
028279
VMC BEHAVIORAL HEALTHCARE
NY
01
—
9383228
PHCS PID
NY
01
—
VM5471
NSLIJ EMPIRE BCBS
NY
Enumeration date
02/02/2007
Last updated
09/11/2025
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