Shirley Shen Phd Llc | |
1701 E Evergreen Blvd Vancouver WA 98661-4289 | |
(503) 998-6238 | |
(360) 326-1651 |
Full Name | Shirley Shen Phd Llc |
---|---|
Speciality | Psychologist - Clinical |
Location | 1701 E Evergreen Blvd, Vancouver, Washington |
Authorized Official Name and Position | Shirley K Shen (PRESIDENT) |
Authorized Official Contact | 5039986238 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Shirley Shen Phd Llc 703 Nw 151st St Vancouver WA 98685-1753 Ph: (503) 998-6238 | Shirley Shen Phd Llc 1701 E Evergreen Blvd Vancouver WA 98661-4289 Ph: (503) 998-6238 |
NPI Number | 1922371996 |
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Provider Enumeration Date | 02/21/2012 |
Last Update Date | 02/21/2012 |
Identifier | Type | State | Issuer |
---|---|---|---|
1922371996 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
103TC0700X | Psychologist - Clinical | PY00002736 (Washington) | Primary |
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