Individual
MRS. SHANNON MOYE DOUTHAT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
EDS. , M.S.
Contact information
Practice address
151 SCHOOL RD, PEARISBURG, VA 24134-2134
(540) 921-1421
(540) 921-1424
Mailing address
151 SCHOOL RD, PEARISBURG, VA 24134-2134
(540) 921-1421
(540) 921-1424
Taxonomy
Speciality
Code
Description
License number
State
103TS0200X
School Psychologist
Primary
0813000154
VA
Other
Enumeration date
04/11/2018
Last updated
04/11/2018
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