Individual
ROBERTA ANN SHANNON-KIRBY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA/CAS, LPA
Contact information
Practice address
211-B HIGHWAY 127, 75 BROWNING DRIVE TAYLORSVILLE NC 28681-6642, HICKORY, NC 28602-3541
(828) 638-6681
(828) 270-7868
Mailing address
211-B HIGHWAY 127, SUITE 130, HICKORY, NC 28602
(828) 638-6681
(828) 270-7868
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
3679
NC
Other
Enumeration date
09/14/2012
Last updated
09/14/2012
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