Individual
DR. SHANNA BROOKE HEUN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
501 S SHARON AMITY RD STE 350, CHARLOTTE, NC 28211-3099
(704) 802-5468
(704) 800-5768
Mailing address
912 CHANNELSIDE DRIVE 2414, TAMPA, FL 33602
(585) 507-1508
Taxonomy
Speciality
Code
Description
License number
State
103TC1900X
Counseling Psychologist
Primary
5173
NC
103TC1900X
Counseling Psychologist
PY 8953
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1548541048
103TC1900X
—
Enumeration date
08/29/2011
Last updated
11/27/2023
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