Individual
SHANNON DEUKMAJIAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
X
Credential
PPS
Contact information
Practice address
440 N LIVE OAK AVE, GLENDORA, CA 91741-2734
(626) 852-4593
Mailing address
144 W NORGATE ST, GLENDORA, CA 91740-5549
(626) 905-2112
Taxonomy
Speciality
Code
Description
License number
State
103TS0200X
School Psychologist
Primary
210033654
CA
Other
Enumeration date
03/27/2025
Last updated
03/27/2025
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