DR. Shannon K. Dunlap, PHD

NPI #1194950857 in Lagrange, Georgia

Provider Information

NPI Number: 1194950857
Entity Type: Individual
Name: DR. Shannon K. Dunlap, PHD
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Psychologist - Clinical
Credential: PHD
Enumeration Date: May 26, 2009
Last Updated: Feb 3, 2016

Practice Location

Address: 610 RIDLEY AVE
City: Lagrange
State: Georgia
ZIP Code: 30240-2236
Phone: (706) 884-5050

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Counselor - Addiction (Substance Use Disorder) — Addiction (Substance Use Disorder)	101YA0400X
Counselor - Professional — Professional	101YP2500X
Psychologist - Clinical — Clinical	103TC0700X	Primary

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