Shannon D Mullen-magbalon PH.D.

NPI 1053640235 - Psychologist - 103TC1900X

NPI Details
NPI 1053640235
Gender Female
Enumeration Date 12/16/2009
Last Updated 12/13/2010
Entity Type Individual
Active Over 6 years ago
Practice Location
229 REMINGTON AVE
THOMASVILLE GA, 31792-5599, US
Phone (229) 200-3157
Fax
Business Location
PO BOX 378
THOMASVILLE GA, 31799-0378, US
Phone (229) 200-3157
Fax
Toxanomy
Taxonomy Code 103TC1900X
License State Georgia
License Number PSY003406
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According to our database, Dr. Shannon D Mullen-magbalon PH.D. NPI is 1053640235, taxonomy code is 103TC1900X and license number is PSY003406, license state is located at Georgia. Shannon D Mullen-magbalon PH.D. physically located at 229 Remington Ave, Thomasville GA, 31792-5599. NPI Number Shannon D Mullen-magbalon PH.D. has the Individual type.

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1053640235 NPI number is provided on an as is basis without warranty of any kind. 1053640235 is maintained by the National Plan & Provider Enumeration System. The contents of Shannon D Mullen-magbalon PH.D. are for informational purposes only.