Individual
SHAYNA BRODY WHITEHOUSE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
908 MAIN ST, 370, LOUISVILLE, CO 80027-1867
(720) 432-1336
Mailing address
908 MAIN ST, 370, LOUISVILLE, CO 80027-1867
(720) 432-1336
Taxonomy
Speciality
Code
Description
License number
State
103TS0200X
School Psychologist
Primary
013219
CO
Other
Enumeration date
04/24/2013
Last updated
04/24/2013
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