Individual
DR. TANYA SHAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
132 PLEASANT ST, PORTLAND, ME 04101-3809
(207) 632-9007
(207) 221-1012
Mailing address
132 PLEASANT ST, PORTLAND, ME 04101-3809
(207) 632-9007
(207) 221-1012
Taxonomy
Speciality
Code
Description
License number
State
103TC1900X
Counseling Psychologist
Primary
PS1011
ME
Other
Enumeration date
01/18/2007
Last updated
07/08/2007
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