Individual
DR. SHANNON T. BOYER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHD PSYCHOLOGIST
Contact information
Practice address
106 S CLEVELAND ST, DAYTON, TX 77535
(281) 850-5735
(713) 456-2673
Mailing address
2080 NE CLAYTON ST, DAYTON, TX 77535-2996
(281) 503-7221
(713) 456-2673
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
25626
TX
103TA0400X
Addiction (Substance Use Disorder) Psychologist
25626
TX
103TC0700X
Clinical Psychologist
25626
TX
103TC1900X
Counseling Psychologist
25626
TX
103TH0004X
Health Psychologist
25626
TX
103TP2701X
Group Psychotherapy Psychologist
25626
TX
103TR0400X
Rehabilitation Psychologist
25626
TX
Other
Enumeration date
06/21/2007
Last updated
12/13/2018
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