Individual
DR. SHANNON VIRTUE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PSY.D.
Contact information
Practice address
4701 OGLETOWN STANTON ROAD, SUITE 2200, HELEN F. GRAHAM CANCER CENTER, NEWARK, DE 19713-7000
(302) 623-4701
Mailing address
200 HYGEIA DR, SUITE 2300, NEWARK, DE 19713-2049
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
B1-0001088
DE
103TC0700X
Clinical Psychologist
PS017530
PA
Other
Enumeration date
02/19/2017
Last updated
05/05/2017
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