Individual
SHANNON MICHELE DALEIDEN,
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
665 GRANT CT, SATELLITE BEACH, FL 32937-3945
(808) 781-4750
(321) 426-9054
Mailing address
665 GRANT CT, SATELLITE BEACH, FL 32937-3945
(808) 781-4750
(321) 426-9054
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
PY7584
FL
103TH0100X
Health Service Psychologist
885
OK
Other
Enumeration date
09/18/2007
Last updated
08/18/2015
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