Individual provider · Type 1 NPI

Shannon Burton Peck, PhD

Clinical Psychologist · Shreveport, LA

NPI number 1902963929 Active

Practice location

510 E Stoner Ave
Shreveport, LA 71101-4243

Specialties and licenses

TaxonomyCodeLicense
Clinical Psychologist Primary 103TC0700X32882 (TX)

Clinical Psychologist: A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of discip…

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About NPI 1902963929

Shannon Burton Peck, PhD's National Provider Identifier is 1902963929, issued on Jan 2, 2007. The primary taxonomy on file is Clinical Psychologist (103TC0700X), and the practice location is in Shreveport, LA. The record was last updated on Aug 2, 2013.