Individual
DR. SHANNA TILLMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PSY.D.
Contact information
Practice address
1135 KILDAIRE FARM RD STE 200, CARY, NC 27511-4587
(719) 725-9575
Mailing address
1135 KILDAIRE FARM RD STE 200, CARY, NC 27511-4587
(719) 725-9575
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
PSYC.00013493
CO
Other
Enumeration date
03/17/2017
Last updated
01/15/2025
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