Individual
SHANNON WORTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PSYD
Contact information
Practice address
3300 S UNIVERSITY DRIVE, FORT LAUDERDALE, FL 33328
(954) 262-5884
Mailing address
3300 S UNIVERSITY DRIVE, FORT LAUDERDALE, FL 33328
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
PY9845
FL
Other
Enumeration date
05/25/2023
Last updated
05/25/2023
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