Individual
DR. SHANDA DAWN VAIRA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
3275 PONY TRACKS DR, COLORADO SPRINGS, CO 80922-1416
(970) 219-6883
Mailing address
3275 PONY TRACKS DR, COLORADO SPRINGS, CO 80922-1416
(970) 219-6883
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
PSY.0004629
CO
Other
Enumeration date
09/10/2017
Last updated
09/10/2017
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