Shayna Coburn, Ph.D.
Psychologist, Clinical in Washington, DC. Individual provider (NPI-1).
NPI number1144761024
StatusActive
Last updated in NPPESMar 13, 2017
Details
- NPI
- 1144761024
- Entity type
- Individual (NPI-1)
- Name
- Shayna Coburn
- Credential
- Ph.D.
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Mar 13, 2017
- Last updated
- Mar 13, 2017
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 103TC0700X | Psychologist, Clinical | 05912 | MD | Yes |
Practice location
111 Michigan Ave NwWashington, DC 20010-2916
Phone 202-476-4261
Mailing address
111 Michigan Ave NwWashington, DC 20010-2916
Phone 202-476-4261
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