Individual
DR. SHANNON K BIRMINGHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PSY D
Contact information
Practice address
138 NORTH COURT STREET, WAMPSVILLE, NY 13163-0608
(315) 366-2327
(315) 366-2599
Mailing address
138 NORTH COURT STREET, WAMPSVILLE, NY 13163-0608
(315) 366-2327
(315) 366-2599
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
—
—
Other
Enumeration date
08/09/2011
Last updated
08/09/2011
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