MEDICARE: DR. SAVANNAH MCSHEFFREY PHD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	103TC0700X	Clinical Psychologist	PS01633	RI
2	103TC0700X	Clinical Psychologist	PY10796	FL
3	390200000X	Student in an Organized Health Care Education/Training Program

General Provider Information

NPI Number	:	1255621033
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. SAVANNAH MCSHEFFREY PHD

Provider Business Mailing Address
First Line	:	5415 LAKE HOWELL RD # 221
Second Line	:
City	:	WINTER PARK
State	:	FL
Zip	:	32792-1033
Country	:	US
Telephone Number	:	772-342-4296
Fax Number	:

Provider Business Practice Location Address
First Line	:	5415 LAKE HOWELL RD # 221
Second Line	:
City	:	WINTER PARK
State	:	FL
Zip	:	32792-1033
Country	:	US
Telephone Number	:	772-342-4296
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	04/13/2011
Last Update Date	:	10/24/2025

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