Individual
MS. SHANNON MAUREEN HARTLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
6869 5TH AVE SOUTH, BIRMINGHAM, AL 35212-1866
(205) 838-2031
(205) 838-2073
Mailing address
6869 5TH AVE SOUTH, BIRMINGHAM, AL 35212-1866
(205) 838-2031
(205) 838-2073
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
1454
AL
Other
Enumeration date
10/19/2007
Last updated
10/19/2007
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