Individual
DR. SHAWN JARED MANDEL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PSY.D.
Contact information
Practice address
4902 ITHACA LN, SARASOTA, FL 34243-2929
(917) 572-5137
Mailing address
4902 ITHACA LN, SARASOTA, FL 34243-2929
(917) 572-5137
Taxonomy
Speciality
Code
Description
License number
State
103TS0200X
School Psychologist
Primary
SS 1204
FL
Other
Enumeration date
11/21/2014
Last updated
11/21/2014
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