Organization
SHANLIS INC.
Active
Organization
SHANLIS INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. STEVEN EDNEY PSY.D (DIRECTOR OF OPERATIONS)
(772) 223-9988
Entity
Organization
Contact information
Practice address
744 COLORADO AVE, STUART, FL 34994-3005
(772) 223-9988
(772) 223-9593
Mailing address
744 COLORADO AVE, STUART, FL 34994-3005
(772) 223-9988
(772) 223-9593
Taxonomy
Speciality
Code
Description
License number
State
103G00000X
Clinical Neuropsychologist
Primary
PY5416
FL
103TC0700X
Clinical Psychologist
—
—
Other
Enumeration date
06/24/2013
Last updated
09/27/2016
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