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

KELLY SHANNON, PHD

Active Sole Proprietor

KELLY SHANNON, PHD is a Clinical Psychologist healthcare provider located in SAN ANTONIO, Texas. NPI 1699874198 is currently active in the NPPES registry. Verify at CMS.

Clinical Psychologist · SAN ANTONIO, TX

Registration Details

NPI Number
1699874198
Provider Type
Individual
Gender
Male
NPI Issued
Sep 21, 2006 (19.886744652338 yrs)
Last Updated
Mar 24, 2009
License
2-3034 (TX)
Sole Proprietor
Yes

Practice Information

Address
102 E MULBERRY AVE
SAN ANTONIO, TX, 782122946
Browse TX providers · Browse ZIP 78212
Phone
2102791516
Fax
2107330141
Primary Specialty
Clinical Psychologist
103TC0700X

Other Clinical Psychologist Providers in SAN ANTONIO, TX

Name Credential NPI
DR. MAGALY VICTORIA MARRERO PH.D. 1457359051
DR. HARRY PAUL HOWITT PHD 1780674416
DR. CLAIRE E JACOBS PH.D. 1043200496
MONTE C MILLER PSYD 1467443432
DR. ANA L. BLANCARTE PH.D. 1336121979
LINDA L. GALINDO PHD 1407831860
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.