Individual
DANIEL SHANE PHILPOT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PSY.D.
Contact information
Practice address
2900 VETERANS WAY, VIERA, FL 32940-8007
(321) 637-3788
Mailing address
341 TUSCANY WAY APT 109, MELBOURNE, FL 32940-8186
(321) 536-2831
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
PY 5661
FL
Other
Enumeration date
05/17/2006
Last updated
07/08/2007
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