Individual
DR. SHANNON M SORENSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
1200 5TH AVE STE 800, SEATTLE, WA 98101-3136
(610) 349-4401
Mailing address
1200 5TH AVE STE 800, SEATTLE, WA 98101-3136
(610) 349-4401
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
10716
MA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
10/02/2017
Last updated
05/04/2021
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