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Individual

DR. PURVI DEEPAK SHAH

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
PH.D.

Contact information

Practice address
2405 WHITNEY AVE, APT 306, HAMDEN, CT 06518-3235
(516) 205-6080
Mailing address
2405 WHITNEY AVE, APT 306, HAMDEN, CT 06518-3235
(516) 205-6080

Taxonomy

Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
016902
NY

Other

Enumeration date
08/06/2007
Last updated
08/06/2007
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