Organization
SHANNON CONNELL, PH.D., LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SHANNON CONNELL PH.D. (CLINICAL PSYCHOLOGIST)
(616) 396-4846
Entity
Organization
Contact information
Practice address
36 W 8TH ST STE 200, HOLLAND, MI 49423-2702
(616) 396-4846
(616) 396-4846
Mailing address
36 W 8TH ST STE 200, HOLLAND, MI 49423-2702
(616) 396-4846
(616) 396-4846
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
—
—
Other
Enumeration date
09/09/2021
Last updated
09/09/2021
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