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Kelly Shannon, PHD
Clinical Psychologist in San Antonio, Texas
NPI 1699874198

Kelly Shannon is a Clinical Psychologist based in San Antonio, TX and is specialized in Clinical. Kelly Shannon practices in San Antonio, TX and has the professional credentials of PHD. The NPI Number for Kelly Shannon is 1699874198 and holds a License No. 2-3034 (Texas).

The current practice location address for Kelly Shannon is 102 E Mulberry Ave, San Antonio, TX and can be reached out via phone at 210-279-1516 and via fax at 210-733-0141.

Location: 102 E Mulberry Ave, San Antonio, TX, 78212-9241
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1699874198
Provider Name
Kelly Shannon
Credential
PHD
Provider Entity Type
Individual
Gender
Male
Address
102 E Mulberry Ave, San Antonio, TX, 78212-9241
Phone Number
210-279-1516
Fax Number
210-733-0141
Provider Enumeration Date
09/21/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
H00088RY01 01 TX BCBS - TX
035931704 05 TX
institution
Provider Business Practice Location Address Details
Address
102 E Mulberry Ave
City
San Antonio
State
Texas
Zip
78212-2946
Phone Number
210-279-1516
Fax Number
210-733-0141
person
Provider Business Mailing Address Details
Address
102 E Mulberry Ave
City
San Antonio
State
Texas
Zip
78212-2946
Phone Number
210-279-1516
Fax Number
210-733-0141
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Psychologist
Speciality
Clinical
Taxonomy
103TC0700X
License No.
2-3034 (Texas)
Definition
A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of disciplines within and outside of psychology proper. The scope of clinical psychology encompasses all ages, multiple diversities and varied systems.
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