NPI 1982550273
Destin Shortell, PHD
Practice location
- Address
- 1970 Roanoke Blvd, Salem, VA 24153-6404
- Phone
- (540) 982-2463
- Mailing address
- 4 Brewer St APT 1, Jamaica Plain, MA 02130-4054
Registered specialties
Clinical Neuropsychologist
Primary
Registry record
- NPI
- 1982550273
- Entity type
- Individual
- Sex (as registered)
- Female
- NPI issued
- 9 Mar 2026
- Record last updated
- 9 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.