Individual
SHANNON WILTSEY STIRMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1033 CHRISTIAN ST, PHILADELPHIA, PA 19147-3736
(215) 459-4200
Mailing address
1033 CHRISTIAN ST, PHILADELPHIA, PA 19147-3736
(215) 459-4200
Taxonomy
Speciality
Code
Description
License number
State
103TB0200X
Cognitive & Behavioral Psychologist
Primary
PS016344
PA
Other
Enumeration date
05/02/2009
Last updated
05/02/2009
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