Individual
DR. SHANNON BOWERMAN LAVIGNE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
8533 E 32ND ST N, WICHITA, KS 67226-2611
(952) 221-9830
Mailing address
8431 FREDERICKSBURG RD, SAN ANTONIO, TX 78229-3392
(952) 221-9830
Taxonomy
Speciality
Code
Description
License number
State
103G00000X
Clinical Neuropsychologist
Primary
3178-T
KS
Other
Enumeration date
04/17/2024
Last updated
04/17/2024
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