| Doctor Name: | DR. TANYA RENE SHANKWEILER |
| NPI Number: | 1275785453 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | PSY.D. |
| License Number: | PS016512 |
| Business Practice Address: | 1040 Chestnut St Emmaus, PA - 180491952 |
| Business Phone Number: | 6109665188 |
| Business Fax Number: | 6109660466 |
| Mailing Address: | 2505 S East St, ALLENTOWN |
| State: | PA |
| Postal Code: | 181036806 |
| Phone Number: | 6103511881 |
| Fax Number: | |
| NPI Enumeration Date: | 10/19/2008 |
| NPI Last Update Date: | 10/19/2008 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 103TC0700X |
| License Number: | PS016512 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | PA |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Psychologist |
| Taxonomy Specialization: | Clinical |
| Taxonomy Definition: | |