Individual
DR. SHANNON MICHELLE TORBORG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PSY.D., L.P.
Contact information
Practice address
13045 FALCON DR STE 100, BAXTER, MN 56425
(218) 829-9307
(218) 829-7649
Mailing address
1900 SILVER LAKE RD NW STE 110, NEW BRIGHTON, MN 55112-1789
(651) 628-9566
(651) 628-0411
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
LP4983
MN
103TM1800X
Intellectual & Developmental Disabilities Psychologist
—
—
Other
Enumeration date
12/01/2008
Last updated
09/16/2019
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