Individual
DR. SHANNON MARIA CANTALUPO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PSY.D.
Contact information
Practice address
2080 CHILD ST BLDG 964, JACKSONVILLE, FL 32214-1107
(904) 546-7049
Mailing address
2533 HERSCHEL ST, JACKSONVILLE, FL 32204-4509
(941) 650-0017
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
PSY12039
FL
Other
Enumeration date
08/05/2024
Last updated
06/05/2025
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