Provider Demographics
NPI:1336578475
Name:PSYCHOLOGY
Entity Type:Organization
Organization Name:PSYCHOLOGY
Other - Org Name:DANIELLE SHRANK
Other - Org Type:Doing Business As
Authorized Official - Title/Position:LICENSED PSYCHOLOGIST
Authorized Official - Prefix:MRS
Authorized Official - First Name:DANIELLE
Authorized Official - Middle Name:NICOLE
Authorized Official - Last Name:SHRANK
Authorized Official - Suffix:
Authorized Official - Credentials:PSYS
Authorized Official - Phone:561-719-4623
Mailing Address - Street 1:13 GLENGARY RD
Mailing Address - Street 2:
Mailing Address - City:PALM BEACH GARDENS
Mailing Address - State:FL
Mailing Address - Zip Code:33418-3725
Mailing Address - Country:US
Mailing Address - Phone:561-719-4623
Mailing Address - Fax:
Practice Address - Street 1:13 GLENGARY RD
Practice Address - Street 2:
Practice Address - City:PALM BEACH GARDENS
Practice Address - State:FL
Practice Address - Zip Code:33418-3725
Practice Address - Country:US
Practice Address - Phone:561-719-4623
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-11-08
Last Update Date:2013-11-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLSS 1139246ZE0500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes246ZE0500XTechnologists, Technicians & Other Technical Service ProvidersSpecialist/Technologist, OtherEEGGroup - Single Specialty