Search › Maryland › 103TC0700X
Shane Perrault, PHD
NPI 1528325115 · on the registry since 2012 · sole proprietor
Practice
- Address
- 411 Ivy Lane
Suite 402
Greenbelt, MD 20770 - Phone
- (301) 588-4600
Registry record
- Primary taxonomy
- 103TC0700X
103TC0700X
- Licence states on file
- MD
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2012-04-19
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 Maryland