Individual
MELISSA SHANAHAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PSYD
Contact information
Practice address
1000 JOHNSON FERRY ROAD, NORTHSIDE HOSPITAL, ATLANTA, GA 30342
(404) 365-0966
Mailing address
3495 PIEDMONT ROAD, NE, NINE PIEDMONT CENTER, ATLANTA, GA 30505
(404) 364-7070
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
PSY003402
GA
Other
Enumeration date
09/16/2010
Last updated
03/26/2015
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