Individual
SHANNON ROSE SWINNEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPP
Contact information
Practice address
11103 PARK RD, LOUISVILLE, KY 40223-2424
(502) 245-4171
Mailing address
10401 LINN STATION RD STE 100, LOUISVILLE, KY 40223-3842
(502) 589-8600
(502) 589-8745
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
629848
KY
Other
Enumeration date
09/15/2021
Last updated
09/15/2021
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