Individual
SHAUNA LYNNE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
6701 PETERS CREEK RD STE 109, ROANOKE, VA 24019-4060
(540) 561-0890
Mailing address
6701 PETERS CREEK RD STE 109, ROANOKE, VA 24019-4060
(540) 561-0890
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
05959
MD
Other
Enumeration date
05/25/2016
Last updated
04/24/2023
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