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Individual

SHANDRA ANICIA DAVIS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
PSY.D.

Contact information

Practice address
10707 66TH ST N STE 7, PINELLAS PARK, FL 33782-2336
(813) 586-1529
(727) 300-0221
Mailing address
10707 66TH ST N STE 7, PINELLAS PARK, FL 33782-2336
(813) 586-1529
(727) 300-0221

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
103T00000X
Psychologist
Primary

Other

Enumeration date
07/02/2012
Last updated
11/30/2022
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