Individual
DR. SHOSHANA D. BERAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PSYD
Contact information
Practice address
1910 S STAPLEY DR STE 221, MESA, AZ 85204-6680
(914) 362-1083
Mailing address
754 W HENDERSON LN, GILBERT, AZ 85233-5348
(914) 362-1083
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
01939201
NY
Other
Enumeration date
06/19/2012
Last updated
12/11/2023
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