| Marnie G. Shanbhag, Ph.d., P.a. | |
|
505 N Park Ave Suite 201 Winter Park FL 32789-3268 | |
| (407) 644-5598 | |
| (407) 644-0329 |
| Full Name | Marnie G. Shanbhag, Ph.d., P.a. |
|---|---|
| Speciality | Psychologist |
| Location | 505 N Park Ave, Winter Park, Florida |
| Authorized Official Name and Position | Marnie Shanbhag (PRESIDENT) |
| Authorized Official Contact | 4076445598 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Marnie G. Shanbhag, Ph.d., P.a. 505 N Park Ave Suite 201 Winter Park FL 32789-3268 Ph: (407) 644-5598 | Marnie G. Shanbhag, Ph.d., P.a. 505 N Park Ave Suite 201 Winter Park FL 32789-3268 Ph: (407) 644-5598 |
| NPI Number | 1093930968 |
|---|---|
| Provider Enumeration Date | 04/16/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1093930968 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103T00000X | Psychologist | PY6016 (Florida) | Primary |
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