Organization
MARNIE G. SHANBHAG, PH.D., P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARNIE SHANBHAG PH.D. (PRESIDENT)
(407) 644-5598
Entity
Organization
Contact information
Practice address
505 N PARK AVE, SUITE 201, WINTER PARK, FL 32789-3268
(407) 644-5598
(407) 644-0329
Mailing address
505 N PARK AVE, SUITE 201, WINTER PARK, FL 32789-3268
(407) 644-5598
(407) 644-0329
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
PY6016
FL
Other
Enumeration date
04/16/2007
Last updated
08/22/2020
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