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SHANNON PARR

School >> Psychologist >> Behavioral Health & Social Service Providers

Registrant NPI Number: 1811655707

Individual Registrant:
 SHANNON  PARR 
Gender: F
Not Sole Proprietor

Location and contact information for practice:
142 ROXBURY AVE  BREEZY POINT, NY 11697-1401 US
Tel: 347-306-4173  Fax: --

Contact information for business:
142 ROXBURY AVE  BREEZY POINT, NY 11697-1401 US
Tel: --  Fax: --

Registration Information:
NPI: 1811655707
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y103TS0200XBehavioral Health & Social Service Providers
Psychologist
School

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




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