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Derek Shanman, PH.D
NPI 1154778801 · on the registry since 2016 · sole proprietor
Practice
- Address
- 311 Jackson St
Thibodaux, LA 70301 - Phone
- (985) 492-1941
- Clinicians at this address
- 2
Registry record
- Primary taxonomy
- 103K00000X
103K00000X
- Licence states on file
- LA
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2016-05-23
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Louisiana