Provider Demographics
NPI:1326858390
Name:PERRYMAN-INGLE, SHINDANA (MS, LPCC)
Entity type:Individual
Prefix:
First Name:SHINDANA
Middle Name:
Last Name:PERRYMAN-INGLE
Suffix:
Gender:X
Credentials:MS, LPCC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:16016 BABCOCK ST APT 189
Mailing Address - Street 2:
Mailing Address - City:SAN DIEGO
Mailing Address - State:CA
Mailing Address - Zip Code:92127-4178
Mailing Address - Country:US
Mailing Address - Phone:858-227-3022
Mailing Address - Fax:
Practice Address - Street 1:16016 BABCOCK ST APT 189
Practice Address - Street 2:
Practice Address - City:SAN DIEGO
Practice Address - State:CA
Practice Address - Zip Code:92127-4178
Practice Address - Country:US
Practice Address - Phone:858-227-3022
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-01-10
Last Update Date:2025-01-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA17256101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health