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NPI 1932533791

NPI 1932533791 : SHELBY MAHER PSYD : LA JOLLA, CA

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General NPI Number Information
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    NPI Number           |    1932533791
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    Entity Type          |    Individual 
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    Provider Name        |    SHELBY MAHER PSYD
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    08/29/2013
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    Last Update Date     |    03/26/2025
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Provider Practice Location Address
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    Address Line         |    3252 HOLIDAY CT STE 201 
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    City                 |    LA JOLLA
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    State                |    CA
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    Zip                  |    92037-1808
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    Country              |    US
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    Telephone            |    858-371-3737
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    Fax                  |    619-574-6964
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Provider Business Mailing Address
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    Address Line         |    3252 HOLIDAY CT STE 201 
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    City                 |    LA JOLLA
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    State                |    CA
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    Zip                  |    92037-1808
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    Country              |    US
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    Telephone            |    858-371-3737
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    Fax                  |    
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Authorized Official
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    Title or Position    |    
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    Name                 |        
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    Credential           |    
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    Telephone            |    
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    103TC0700X
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    Taxonomy Name        |    Clinical Psychologist
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    License Number       |    33298
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    License Number State |    CA
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