Individual
DR. BRIAN VINCENT SHENAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
1970 ROANOKE BLVD, SALEM VAMC - MENTAL HEALTH (116B), SALEM, VA 24153-6404
(540) 982-2463
(540) 983-1085
Mailing address
1970 ROANOKE BLVD, SALEM VAMC - MENTAL HEALTH (116B), SALEM, VA 24153-6404
(540) 982-2463
(540) 983-1085
Taxonomy
Speciality
Code
Description
License number
State
103G00000X
Clinical Neuropsychologist
0810003943
VA
103TC0700X
Clinical Psychologist
Primary
0810003943
VA
146N00000X
Basic Emergency Medical Technician
B030116102
VA
Other
Enumeration date
06/23/2006
Last updated
08/25/2011
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