Individual
SHANNON SEBASTIAN VOOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
220 ABRAHAM FLEXNER WAY, PSYCHOLOGY DEPARTMENT 6TH FLOOR, LOUISVILLE, KY 40202-3826
(502) 582-7484
(502) 582-7646
Mailing address
6801 DIXIE HWY, SUITE 130, LOUISVILLE, KY 40258-3913
(502) 582-7484
(502) 582-7646
Taxonomy
Speciality
Code
Description
License number
State
103G00000X
Clinical Neuropsychologist
Primary
0966
KY
103G00000X
Clinical Neuropsychologist
20041025A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000710020
ANTHEM BC/BS
KY
05
—
200127590
—
IN
05
—
89340079
—
KY
Enumeration date
02/09/2011
Last updated
05/25/2011
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