| NPI | 1275162562 |
|---|---|
| Doing Business As | THE SHANDY CLINIC |
| Entity Type | Organization |
| Authorized Contact | REBECCA NEWMAN Billing Manager 719-597-0822 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical |
| Enumeration Date | 2020-04-07 |
| Last Update Date | 2020-04-07 |