# ZACHARY ROBERT SHINDORF

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

## Provider details

- **NPI number:** 1952891624
- **Gender:** Man

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 101Y00000X | Counselor | 11459 | NE | — |
| 103TC2200X | Clinical Child & Adolescent Psychologist | PS01912 | RI | Yes |

## Other

- **Enumeration date:** 05/17/2018
- **Last updated:** 11/16/2020