Individual
DR. SHANNON L. STAVINOHA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
4131 SPICEWOOD SPRINGS RD STE I7, AUSTIN, TX 78759-8659
(903) 914-0224
Mailing address
6705 W HIGHWAY 290 P.O. BOX # 50225, AUSTIN, TX 78735
(903) 914-0224
Taxonomy
Speciality
Code
Description
License number
State
103TC1900X
Counseling Psychologist
Primary
38174
TX
Other
Enumeration date
04/15/2019
Last updated
08/23/2021
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