Individual
SHANNON L BROTHERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3333 BURNET AVE ML3015, CINCINNATI, OH 45229-4522
(513) 636-4336
(513) 636-7756
Mailing address
3333 BURNET AVE # 5021, CINCINNATI, OH 45229-3026
(513) 636-5278
(513) 636-2511
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
P.08036
OH
103TC2200X
Clinical Child & Adolescent Psychologist
Primary
P.08036
OH
Other
Enumeration date
05/18/2017
Last updated
12/16/2020
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