Individual
MICHAEL SHAHNASARIAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHD
Contact information
Practice address
11019 N DALE MABRY HWY, TAMPA, FL 33618-3801
(813) 265-9262
(813) 265-4226
Mailing address
11019 N DALE MABRY HWY, TAMPA, FL 33618-3801
(813) 265-9262
(813) 265-4226
Taxonomy
Speciality
Code
Description
License number
State
103TR0400X
Rehabilitation Psychologist
Primary
PY5644
FL
Other
Enumeration date
12/30/2009
Last updated
12/30/2009
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