Individual
DR. SANDRA SHALLCROSS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PH.D., L.P.
Contact information
Practice address
701 PARK AVE, OUTPATIENT PSYCHIATRY S1, MINNEAPOLIS, MN 55415-1623
(612) 987-5212
Mailing address
701 PARK AVE, MINNEAPOLIS, MN 55415-1623
(612) 987-5212
Taxonomy
Speciality
Code
Description
License number
State
103TC1900X
Counseling Psychologist
Primary
5803
MN
Other
Enumeration date
08/27/2014
Last updated
01/08/2015
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