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Contact Information

SHANNON M DALEIDEN, PHD
665 GRANT CT
SATELLITE BEACH, FL32937-3945
 Phone: 808-781-4750
 Fax: 321-426-9054
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Clinical

103TC0700X 62 Psychologist, Clinical
 

Health Service

103TH0100X 62 Psychologist, Clinical
Indicates primary specialty

NPI Profile & details for SHANNON M DALEIDEN · (Female)

NPI Number 1629264338
Status Active
Credentials PHD
Entity Individual
Enumeration date 09/18/2007
Last updated 08/18/2015 - About 11 years ago
Sole proprietor 1 No
Identifiers
  • FL License # PY7584
  • OK License # 885
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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