Individual
DR. SHAN PATEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PSYD
Taxonomy
Speciality
Code
Description
License number
State
103G00000X
Clinical Neuropsychologist
PY12302
FL
103TC0700X
Clinical Psychologist
Primary
PY12302
FL
Other
Enumeration date
07/22/2024
Last updated
07/09/2026
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