Individual
SHANNON KAY STANTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PSYD, LP
Contact information
Practice address
149 THOMPSON AVE E STE 150, WEST SAINT PAUL, MN 55118-3238
(651) 450-0860
(651) 450-0759
Mailing address
4240 PARK GLEN RD, ST LOUIS PARK, MN 55416-5427
(612) 925-6033
(612) 925-8496
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
LP6134
MN
Other
Enumeration date
09/21/2017
Last updated
07/21/2022
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