Individual
KATHERINE SHANAHAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
300 DAYLOMA AVE, VENTURA, CA 93003-2010
(781) 640-5011
Mailing address
300 DAYLOMA AVE, VENTURA, CA 93003-2010
Taxonomy
Speciality
Code
Description
License number
State
103TS0200X
School Psychologist
Primary
—
—
Other
Enumeration date
05/05/2020
Last updated
05/05/2020
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