Healthcare Provider Details

I. General information

NPI: 1285551507
Provider Name (Legal Business Name): SHANIQUE YEE PSYD
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/30/2026
Last Update Date: 06/30/2026
Certification Date: 06/30/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

13001 FOUNDERS SQUARE DR STE 200
ORLANDO FL
32828-7708
US

IV. Provider business mailing address

998 VALENCIA ISLE DR
ORLANDO FL
32825-6344
US

V. Phone/Fax

Practice location:
  • Phone: 689-808-6491
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103T00000X
TaxonomyPsychologist
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: