Individual
SHYANN MIKAELL CAMPANA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.A.
Contact information
Practice address
8350 N CENTRAL EXPY STE 1275, DALLAS, TX 75206-1614
(469) 232-7965
Mailing address
8350 N CENTRAL EXPY STE 1275, DALLAS, TX 75206-1614
(469) 232-7965
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
38721
TX
103T00000X
Psychologist
A6
CA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
38721
LICENSED PSYCHOLOGIST NUMBER
TX
Enumeration date
09/12/2017
Last updated
04/14/2022
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