Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. SHANE PERRAULT, PHD
Active Sole ProprietorDR. SHANE PERRAULT, PHD is a Clinical Psychologist healthcare provider located in GREENBELT, Maryland. NPI 1528325115 is currently active in the NPPES registry. Verify at CMS.
Clinical Psychologist · GREENBELT, MD
Registration Details
- NPI Number
- 1528325115
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Apr 19, 2012 (14.284877644462 yrs)
- Last Updated
- Apr 19, 2012
- License
-
4005 (MD)
- Sole Proprietor
- Yes
Practice Information
- Address
-
411 IVY LANESUITE 402GREENBELT, MD, 20770Browse MD providers · Browse ZIP 20770
- Phone
- 3015884600
- Primary Specialty
-
Clinical Psychologist
103TC0700X
Other Clinical Psychologist Providers in GREENBELT, MD
| Name | Credential | NPI |
|---|---|---|
| DR. JADE WOO CHEN | PH.D. | 1871679282 |
| MRS. KELLY SAMANTHA BENTON-KLEIN | PSY.D. | 1144349408 |
| DR. KIRK ALLEN DUNCAN | PSYD | 1861826588 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.