Individual
MRS. SHALLARY SIMMONS DUNCAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
721 ROSE ST, WILLIAMSPORT, PA 17701-1678
(570) 971-7729
Mailing address
721 ROSE ST, WILLIAMSPORT, PA 17701-1678
(570) 971-7729
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
PC001004
PA
Other
Enumeration date
10/04/2010
Last updated
10/04/2010
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