Most Relevant Information
Provider Data
| NPI Number: | 1003211483 |
| Provider Name: | SHAMEELA INDERDEO LMHC |
| Entity Type: | Individual |
| Taxonomy Code: | 101YM0800X |
| Specialty: | Counselor |
| License Number: | 005525-1 |
Most Important Dates
| Enumeration Date: | 10/28/2014 |
| Last Updated: | 10/28/2014 |
Provider Practice Location
40 WEST END AVE
VALLEY STREAM
NY
11580
Practice Location Phone/Fax
| Phone: | 5167766360 |
| Fax: |
Provider Mailing Location
40 WEST END AVE
VALLEY STREAM
NY
11580
Provider Mailing Phone/Fax
| Phone: | 5167766360 |
| Fax: |