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Individual
DR. SHEA MCTAGGART
Active
Individual
DR. SHEA MCTAGGART
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PSY.D.
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
0004271
CO
103TR0400X
Rehabilitation Psychologist
Primary
0004271
CO
Other
Enumeration date
09/30/2013
Last updated
07/13/2022
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