DR. Shannon Thomas Woulfe, PH.D., LP

NPI #1225593825 in Fridley, Minnesota

Provider Information

NPI Number: 1225593825
Entity Type: Individual
Name: DR. Shannon Thomas Woulfe, PH.D., LP
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Psychologist - Clinical
Credential: PH.D., LP
Enumeration Date: Feb 7, 2019
Last Updated: Mar 11, 2021

Practice Location

Address: 550 OSBORNE RD NE
City: Fridley
State: Minnesota
ZIP Code: 55432-2718
Phone: (763) 236-5000

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Psychologist - Clinical — Clinical	103TC0700X	Primary

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