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Individual

DR. SHAWN MICHAEL MCCLINTOCK

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PHD

Contact information

Practice address
5323 HARRY HINES BOULEVARD, DALLAS, TX 75390-7208
(214) 645-8300
(214) 645-4871
Mailing address
P.O. BOX 845347, DALLAS, TX 75284-5347
(214) 645-8300
(214) 645-4871

Taxonomy

Speciality
Code
Description
License number
State
103G00000X
Clinical Neuropsychologist
Primary
36143
TX
103T00000X
Psychologist
36143
TX
103TC0700X
Clinical Psychologist
4455
NC

Other

Enumeration date
08/28/2013
Last updated
06/07/2016
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