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Individual

MR. IAN ALEXANDER SHINNEY

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
PSY.D.

Contact information

Practice address
2611 ERIN WAY, EUGENE, OR 97408-4713
(541) 915-7234
Mailing address
2611 ERIN WAY, EUGENE, OR 97408-4713

Taxonomy

Speciality
Code
Description
License number
State
103TC2200X
Clinical Child & Adolescent Psychologist
Primary
2312
OR

Other

Enumeration date
09/09/2008
Last updated
01/21/2016
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