Adena Shoshan Psyd PC

NPI #1821500174 in Penfield, New York

Provider Information

NPI Number: 1821500174
Entity Type: Organization
Organization Name: Adena Shoshan Psyd PC
Primary Specialty: Psychologist - Clinical
Enumeration Date: Oct 26, 2017
Last Updated: Oct 26, 2017

Practice Location

Address: 441 PENBROOKE DR STE 1
City: Penfield
State: New York
ZIP Code: 14526-2046
Phone: (585) 454-9904

Authorized Official

Name: DR. ADENA SHOSHAN, PSYD
Title: PRESIDENT/OWNER
Phone: (585) 454-9904

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Psychologist - Clinical — Clinical	103TC0700X	Primary

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