Individual
DR. TERRY SHANNON PROEGER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHD
Contact information
Practice address
100 WALLACE AVE, SUITE 382, SARASOTA, FL 34237-6058
(941) 373-0006
(941) 359-8274
Mailing address
100 WALLACE AVE, SUITE 382, SARASOTA, FL 34237-6058
(941) 373-0006
(941) 359-8274
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
PY2519
FL
Other
Enumeration date
07/12/2006
Last updated
07/25/2012
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