Individual
DR. SHANNON MULLALLY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
2601 VETERANS DR, HARLINGEN, TX 78550-8942
(956) 291-9000
Mailing address
1148 4TH ST, MUSKEGON, MI 49441-1907
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
6301011639
MI
Other
Enumeration date
11/15/2006
Last updated
04/01/2024
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