Individual
DR. SHANNON FULLER ACKAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
3000 WESLAYAN ST STE 140, HOUSTON, TX 77027-5700
(713) 804-9560
Mailing address
1024 TULANE ST, HOUSTON, TX 77008-6865
(832) 563-3038
Taxonomy
Speciality
Code
Description
License number
State
103G00000X
Clinical Neuropsychologist
Primary
33761
TX
Other
Enumeration date
04/08/2024
Last updated
04/08/2024
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