Individual
DR. MARK SHATS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PSYD
Contact information
Practice address
4254 LENNOX DR, MIAMI, FL 33133-6721
(415) 717-8146
Mailing address
4219 ANNE CT, MIAMI, FL 33133-6626
(415) 717-8146
Taxonomy
Speciality
Code
Description
License number
State
103TB0200X
Cognitive & Behavioral Psychologist
PY8156
FL
103TC0700X
Clinical Psychologist
Primary
PY8156
FL
103TC2200X
Clinical Child & Adolescent Psychologist
PY8156
FL
103TF0000X
Family Psychologist
PY8156
FL
103TF0200X
Forensic Psychologist
PY8156
FL
103TP2701X
Group Psychotherapy Psychologist
PY8156
FL
Other
Enumeration date
05/29/2011
Last updated
05/29/2011
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