| Doctor Name: | DR. SHAUNA JEAN STOTT |
| NPI Number: | 1366489577 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | PH.D. |
| License Number: | PSY9354 |
| Business Practice Address: | 220 Country Club Gate Ctr Suite 16 Pacific Grove, CA - 939505014 |
| Business Phone Number: | 8316461873 |
| Business Fax Number: | 8313723587 |
| Mailing Address: | 220 Country Club Gate Ctr, Suite 16 PACIFIC GROVE |
| State: | CA |
| Postal Code: | 939505014 |
| Phone Number: | 8316461873 |
| Fax Number: | 8313723587 |
| NPI Enumeration Date: | 05/31/2006 |
| NPI Last Update Date: | 08/20/2010 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 103TC0700X |
| License Number: | PSY9354 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | CA |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Psychologist |
| Taxonomy Specialization: | Clinical |
| Taxonomy Definition: | |