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Individual

ZACHARY ROBERT SHINDORF

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
13460 WALSH DR, BOYS TOWN, NE 68010-7529
(531) 355-3358
(531) 355-3375
Mailing address
117 ELLENFIELD ST STE 101, PROVIDENCE, RI 02905-4541
(401) 444-6779
(531) 355-3375

Taxonomy

Speciality
Code
Description
License number
State
101Y00000X
Counselor
11459
NE
103TC2200X
Clinical Child & Adolescent Psychologist
Primary
PS01912
RI

Other

Enumeration date
05/17/2018
Last updated
11/16/2020
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