NPI 1699520866

Sitara Shanmugam, PSYD

Practitioner Clinical Neuropsychologist Elkins Park, PA

Practice location

Address: 60 Township Line Rd, Elkins Park, PA 19027-2220
Phone: (215) 663-6362
Fax: (215) 663-6234

Registered specialties (2)

Clinical Neuropsychologist Primary

Behavioral Health & Social Service Providers Taxonomy 103G00000X Licence PS019849 (PA)

Other Clinical Neuropsychologist providers in Pennsylvania →

Clinical Psychologist

Behavioral Health & Social Service Providers Taxonomy 103TC0700X Licence PS019849 (PA)

Other Psychologist providers in Pennsylvania →

Registry record

NPI: 1699520866
Entity type: Individual
Sex (as registered): Female
NPI issued: 22 Apr 2024
Record last updated: 31 Mar 2026

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.