Individual
DR. JOHANNA MARIE MCSHANE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
936 DEWING AVE STE E, LAFAYETTE, CA 94549-4246
(925) 283-9377
(925) 934-5419
Mailing address
936 DEWING AVE STE E, LAFAYETTE, CA 94549-4246
(925) 283-9377
(925) 934-5419
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
PSY23662
CA
Other
Enumeration date
08/02/2010
Last updated
08/02/2010
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