Individual
DR. SHANNON SHORTT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PSY.D.
Contact information
Practice address
6534 PENDLETON AVE, ROANOKE, VA 24019-4120
(540) 645-8933
Mailing address
37 BOYLSTON ST, WORCESTER, MA 01605-3529
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
0810008143
VA
Other
Enumeration date
10/06/2016
Last updated
06/14/2023
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