Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Dr. Shane Perrault, PHD

Individual provider Clinical Psychologist · NPI 1528325115

Dr. Shane Perrault, PHD is a Clinical Psychologist in Greenbelt, Maryland. Practices as a sole proprietor. Licensed in Maryland.

Licensed in
MD
In the registry since
2012
What do these letters mean?
PHD — Doctor of Philosophy
A research doctorate. In healthcare it usually sits alongside a clinical licence.

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Practice location Address checks out

411 Ivy Ln Ste 402
Greenbelt, MD 20770
Phone: (301) 588-4600
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Psychologist (primary) Taxonomy 103TC0700X · Licence 4005 (MD)

Record details

NPI number1528325115
Entity typeIndividual (Type 1)
GenderMale
Credentials PHD
Sole proprietorYes
NPI enumeratedApril 19, 2012
Last updated in NPPESApril 19, 2012
Mailing address411 Ivy Lane, Suite 402, Greenbelt, MD 20770

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