Provider Information for 1942951371
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SHAYLA DEVAN FINNISSEE LMHC
Sex: Female
NPI: 1942951371
Last Updated: 2024-05-15
Certification Date: 2024-05-15
Certification Date: 2024-05-15
Details
Name | Value | |||||||||||||||||||||
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NPI | 1942951371 | |||||||||||||||||||||
Enumeration Date | 2022-01-18 | |||||||||||||||||||||
NPI Type | NPI-1 Individual | |||||||||||||||||||||
Sole Proprietor | NO | |||||||||||||||||||||
Status | Active | |||||||||||||||||||||
Mailing Address | 21 COLUMBIA ST STE 201 ORLANDO, FL 32806-1133 United States Phone: 321-841-7046 | Fax: | |||||||||||||||||||||
Primary Practice Address | 21 COLUMBIA ST STE 201 ORLANDO, FL 32806-1133 United States Phone: 321-841-0746 | Fax: | |||||||||||||||||||||
Secondary Practice Address(es) | 2634 CAPITAL CIR NE | |||||||||||||||||||||
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