Individual
DR. SHANA D STITES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PSYD
Contact information
Practice address
RALSTON HOUSE, SUITE 214, 3615 CHESTNUT ST, PHILADELPHIA, PA 19104
(215) 349-8225
Mailing address
RALSTON HOUSE, SUITE 214, 3615 CHESTNUT ST, PHILADELPHIA, PA 19104
(215) 349-8225
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
PS019499
PA
Other
Enumeration date
06/04/2026
Last updated
06/04/2026
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