Organization
DR. SHAN PSYCHIATRY CLINIC LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
YANG SHAN M.D. (DIRECTOR)
(215) 533-3660
Entity
Organization
Contact information
Practice address
756 ADAMS AVE, PHILADELPHIA, PA 19124-2330
(215) 533-3660
(215) 533-3682
Mailing address
756 ADAMS AVE, PHILADELPHIA, PA 19124-2330
(215) 533-3660
(215) 533-3682
Taxonomy
Speciality
Code
Description
License number
State
103G00000X
Clinical Neuropsychologist
Primary
MD421627
PA
Other
Enumeration date
12/12/2008
Last updated
12/12/2008
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