Individual
CARITA R SHAWCHUCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
13104 CIMARRON CIR N, LARGO, FL 33774-4114
(727) 835-8131
(701) 205-4593
Mailing address
13104 CIMARRON CIR N, LARGO, FL 33774-4114
(727) 835-8131
(701) 205-4593
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
PY10741
FL
103TC2200X
Clinical Child & Adolescent Psychologist
295
ND
Other
Enumeration date
06/10/2006
Last updated
08/28/2021
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