Individual
DR. SHANNON MARIE DALLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PSY.D.
Contact information
Practice address
15935 SW 146TH AVE, TIGARD, OR 97224-1380
(360) 602-2563
Mailing address
15935 SW 146TH AVE, TIGARD, OR 97224-1380
(978) 996-9521
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
3620
OR
103TC0700X
Clinical Psychologist
PY61053793
WA
Other
Enumeration date
01/24/2021
Last updated
10/29/2024
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