Individual
SHANNON HUNTER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
5469 CAMINITO BORDE, SAN DIEGO, CA 92108-4215
(619) 200-5655
Mailing address
5469 CAMINITO BORDE, SAN DIEGO, CA 92108-4215
(619) 200-5655
Taxonomy
Speciality
Code
Description
License number
State
103TS0200X
School Psychologist
Primary
230033230
CA
Other
Enumeration date
04/21/2025
Last updated
04/21/2025
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