MRS. Shannon Moye Douthat, EDS. , M.S.

NPI #1164929576 in Pearisburg, Virginia

Provider Information

NPI Number: 1164929576
Entity Type: Individual
Name: MRS. Shannon Moye Douthat, EDS. , M.S.
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Psychologist - School
Credential: EDS. , M.S.
Enumeration Date: Apr 11, 2018
Last Updated: Apr 11, 2018

Practice Location

Address: 151 SCHOOL RD
City: Pearisburg
State: Virginia
ZIP Code: 24134-2134
Phone: (540) 921-1421

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Psychologist - School — School	103TS0200X	Primary

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