| NPI | 1295186120 |
|---|---|
| Former Legal Business Name | WILLIAMS, SHANA DR. |
| Entity Type | Organization |
| Authorized Contact | SHANA WILLIAMS Clinical Psychologist 954-298-8774 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103T00000X Psychologist (Licence: FL PY5937) |
| Additional Taxonomies | 103TA0700X Psychologist, Adult Development & Aging (Licence: FL PY5937) |
| 103TB0200X Psychologist, Cognitive & Behavioral (Licence: FL PY5937) | |
| 103TC0700X Psychologist, Clinical (Licence: FL PY5937) | |
| 103TC1900X Psychologist, Counseling (Licence: FL PY5937) | |
| 103TC2200X Psychologist, Clinical Child & Adolescent (Licence: FL PY5937) | |
| 103TF0200X Psychologist, Forensic (Licence: FL PY5937) | |
| 103TM1800X Psychologist, Intellectual & Developmental Disabilities (Licence: FL PY5937) | |
| Enumeration Date | 2016-06-22 |
| Last Update Date | 2016-06-22 |