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Individual

DR. ELLYN SUE SHANDER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
1933 LONG RIDGE RD, STAMFORD, CT 06903-3201
(203) 595-9205
(203) 329-8011
Mailing address
1933 LONG RIDGE RD, STAMFORD, CT 06903-3201
(203) 595-9205
(203) 329-8011

Taxonomy

Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
024821
CT
2084P0800X
Psychiatry Physician
ME159598
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
024821
MEDICAL LICENSE
CT
Enumeration date
01/08/2007
Last updated
01/19/2026
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