Individual
DR. YASHA P. SHINE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PSYD
Contact information
Practice address
1040 GAINES SCHOOL RD APT 121, ATHENS, GA 30605-6335
(626) 814-7850
Mailing address
1040 GAINES SCHOOL RD APT 121, ATHENS, GA 30605-6335
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
PY-11229
FL
Other
Enumeration date
09/05/2021
Last updated
09/05/2021
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