Individual
SHANNON MCGOVERN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
1200 N EL DORADO PL, # H800B, TUCSON, AZ 85715-4637
(520) 419-6893
(520) 577-2936
Mailing address
1200 N EL DORADO PL, # H800B, TUCSON, AZ 85715-4637
(520) 419-6893
(520) 577-2936
Taxonomy
Speciality
Code
Description
License number
State
103G00000X
Clinical Neuropsychologist
3973
AZ
103TC2200X
Clinical Child & Adolescent Psychologist
Primary
3973
AZ
Other
Enumeration date
10/21/2008
Last updated
09/23/2018
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