| NPI | 1669409900 |
|---|---|
| Professional Name | SHANNON VAN WEY |
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: NC 808) |
| Additional Taxonomies | 103T00000X Psychologist (Licence: NC 808) |
| Enumeration Date | 2006-06-26 |
| Last Update Date | 2010-08-13 |