Individual
DR. SITARA SHANMUGAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PSYD
Contact information
Practice address
60 TOWNSHIP LINE RD, ELKINS PARK, PA 19027-2220
(215) 663-6362
(215) 663-6234
Mailing address
60 TOWNSHIP LINE RD, ELKINS PARK, PA 19027-2220
Taxonomy
Speciality
Code
Description
License number
State
103G00000X
Clinical Neuropsychologist
Primary
PS019849
PA
103G00000X
Clinical Neuropsychologist
Primary
—
—
103TC0700X
Clinical Psychologist
PS019849
PA
Other
Enumeration date
04/22/2024
Last updated
03/31/2026
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