Individual
DR. TREVOR SHANNON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHD
Contact information
Practice address
3124 CABOT DR, WILMINGTON, NC 28405-6414
(910) 551-1127
Mailing address
3124 CABOT DR, WILMINGTON, NC 28405-6414
(910) 551-1127
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
6634
NC
Other
Enumeration date
01/04/2025
Last updated
01/04/2025
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