Individual
DR. CHRISSYL KANDIS SHAW
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PSY.D.
Contact information
Practice address
4121 NW 5TH ST, SUITE 207, PLANTATION, FL 33317-2120
(954) 583-4568
(954) 583-4528
Mailing address
4121 NW 5TH ST, SUITE 207, PLANTATION, FL 33317-2120
(954) 583-4568
(954) 583-4528
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
PY8765
FL
Other
Enumeration date
07/11/2013
Last updated
12/01/2023
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