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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

DR. SHANNON K. DUNLAP, PHD

Active Sole Proprietor

DR. SHANNON K. DUNLAP, PHD is a Clinical Psychologist healthcare provider located in LAGRANGE, Georgia. NPI 1194950857 is currently active in the NPPES registry. Verify at CMS.

Clinical Psychologist · LAGRANGE, GA

Registration Details

NPI Number
1194950857
Provider Type
Individual
Gender
Male
NPI Issued
May 26, 2009 (17.178112502352 yrs)
Last Updated
Feb 3, 2016
Licenses
202201 (GA)
LPC004718 (GA)
PSY003497 (GA)
Sole Proprietor
Yes

Practice Information

Address
610 RIDLEY AVE
LAGRANGE, GA, 302402236
Browse GA providers · Browse ZIP 30240
Phone
7068845050
Fax
7068845056
Primary Specialty
Clinical Psychologist
103TC0700X
Additional Specialty
Professional Counselor
Additional Specialty
Clinical Psychologist

Other Clinical Psychologist Providers in LAGRANGE, GA

Name Credential NPI
DR. JEREMY SEAN MCKAY PH.D 1043397474
MICHAEL SCOTT SMITH PSY 1700304904
MORGAN ANDREWS PSYD 1629864590
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.