Individual
DR. SHANNON LEE HENRY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
1292 HIGH ST # 1199, EUGENE, OR 97401
(541) 293-0181
Mailing address
1292 HIGH ST # 1199, EUGENE, OR 97401-3238
(541) 293-0181
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
023901
NY
103T00000X
Psychologist
Primary
3270
OR
Other
Enumeration date
10/12/2020
Last updated
09/08/2024
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