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Individual

DR. BRIAN VINCENT SHENAL

Active
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Individual

DR. BRIAN VINCENT SHENAL

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PH.D.

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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