The holder whose full name is Shain, Michael P.,come from Indianapolis IN,hold the Psychologist - Health Service Provider license(NO.20040595A) which status is Active.
| Name | Shain, Michael P. |
|---|---|
| License Number | 20040595A |
| License Type | Psychologist - Health Service Provider |
| License Status | Active |
| City | Indianapolis |
| State | IN |