Individual
SHAWNA JAMIE STOTTS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PSYD, LCSW
Contact information
Practice address
96 SW ALLAPATTAH RD, INDIANTOWN, FL 34956-4307
(772) 597-9400
Mailing address
1521 ALTON RD UNIT 310, MIAMI BEACH, FL 33139-3301
(305) 978-6669
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
PSY34972
CA
103T00000X
Psychologist
PY11329
FL
103TF0200X
Forensic Psychologist
PY11329
FL
1041C0700X
Clinical Social Worker
SW14934
FL
Other
Enumeration date
05/13/2022
Last updated
05/06/2024
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