Individual
KATHLEEN M SHANAHAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
ELM AND CARLTON STREETS, BUFFALO, NY 14263
(716) 845-2300
Mailing address
18 AGASSIZ CIR, BUFFALO, NY 14214-2601
(716) 932-2629
(716) 884-0291
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
015460
NY
Other
Enumeration date
12/02/2011
Last updated
07/30/2021
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