Shadybrook Psychological Services Pllc
NPI #1225799257 in Clemmons, North Carolina
Provider Information
- NPI Number
- 1225799257
- Entity Type
- Organization
- Organization Name
- Shadybrook Psychological Services Pllc
- Primary Specialty
- Psychologist - Clinical
- Enumeration Date
- Jan 3, 2022
- Last Updated
- Jun 17, 2024
Practice Location
- Address
- 2554 LEWISVILLE CLEMMONS RD STE 304
- City
- Clemmons
- State
- North Carolina
- ZIP Code
- 27012-8749
- Phone
- (636) 487-7654
Authorized Official
- Name
- DR. SUSANNE PALMER, PHD
- Title
- OWNER/AUTHORIZED OFFICIAL
- Phone
- (336) 200-8808
Specialties & Taxonomy Codes
| Specialty |
|---|
| Psychologist - Clinical — Clinical |
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