Individual
DR. SHANNON KAY GARRITY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PSY.D.
Contact information
Practice address
2388 UNIVERSITY AVE W, 202, SAINT PAUL, MN 55114-1769
(612) 703-8589
Mailing address
2388 UNIVERSITY AVE W, 202, SAINT PAUL, MN 55114-1769
(612) 703-8589
Taxonomy
Speciality
Code
Description
License number
State
103TB0200X
Cognitive & Behavioral Psychologist
4716
MN
103TC0700X
Clinical Psychologist
Primary
4716
MN
103TC1900X
Counseling Psychologist
4716
MN
103TE1100X
Exercise & Sports Psychologist
4716
MN
103TP2701X
Group Psychotherapy Psychologist
4716
MN
Other
Enumeration date
10/19/2007
Last updated
06/18/2014
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