Individual
DR. SHANNON MARIE SISCO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
2002 HOLCOMBE BLVD, HOUSTON, TX 77030-4211
(832) 438-0454
Mailing address
2002 HOLCOMBE BLVD, HOUSTON, TX 77030-4211
(832) 438-0454
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
071008784
IL
Other
Enumeration date
02/08/2012
Last updated
12/05/2023
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