Individual
SHANNON TROMP
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4499 E STATE ROUTE 69, PRESCOTT, AZ 86301-6731
(928) 503-8008
Mailing address
PO BOX 26613, SCOTTSDALE, AZ 85255-0126
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
3286
AZ
Other
Enumeration date
03/03/2018
Last updated
03/03/2018
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