| Doctor Name: | MRS. SHAMEELA INDERDEO |
| NPI Number: | 1003211483 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | LMHC |
| License Number: | 005525-1 |
| Business Practice Address: | 40 West End Ave Valley Stream, NY - 11580 |
| Business Phone Number: | 5167766360 |
| Business Fax Number: | |
| Mailing Address: | 40 West End Ave, VALLEY STREAM |
| State: | NY |
| Postal Code: | 11580 |
| Phone Number: | 5167766360 |
| Fax Number: | |
| NPI Enumeration Date: | 10/28/2014 |
| NPI Last Update Date: | 10/28/2014 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YP2500X |
| License Number: | 005525-1 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | NY |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Professional |
| Taxonomy Definition: | |