| NPI | 1427485440 |
|---|---|
| Other Name | SHANEEN DIANE MESKEW |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist Clinical (Licence: OR 2500) |
| Additional Taxonomies | 103T00000X Psychologist (Licence: WI 3079-57) |
| 103TA0400X Psychologist Addiction (Substance Use Disorder) (Licence: WI 3079-57) | |
| 103TB0200X Psychologist Cognitive & Behavioral (Licence: WI 3079-57) | |
| 103TC0700X Psychologist Clinical (Licence: WI 3079-57) | |
| 103TC2200X Psychologist Clinical Child & Adolescent (Licence: WI 3079-57) | |
| 103TH0004X Psychologist Health (Licence: WI 3079-57) | |
| 103TH0100X Psychologist Health Service (Licence: WI 3079-57) | |
| 103TP2701X Psychologist Group Psychotherapy (Licence: WI 3079-57) | |
| Enumeration Date | 2013-10-04 |
| Last Update Date | 2016-09-08 |