Dr. Shannon D Mullen-Magbalon
Counseling Psychologist
229 Remington Ave
Thomasville
, Georgia 31792-5599
Dr. Shannon D Mullen-Magbalon
Counseling Psychologist
229 Remington Ave
Thomasville
, Georgia 31792-5599
(229) 200-3157
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About
Features
Specialties
- Counseling Psychologist
Languages spoken
- English
Location
First Address
- Dr. Shannon D Mullen-Magbalon
- Po Box 378
- Thomasville, GA
- Zip : 31799-0378
- Phone : (229) 200-3157
Second Address
- Dr. Shannon D Mullen-Magbalon
- 229 Remington Ave
- Thomasville, GA
- Zip : 31792-5599
- Phone : (229) 200-3157
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 103TC1900X | Counseling Psychologist | PSY003406 | GA |
National Provider Identifier
| NPI | 1053640235 |
|---|---|
| Provider Name | Dr. Shannon D Mullen-Magbalon |
| First Address | Thomasville, GA 31799-0378 |
| Second Address | Thomasville, GA 31792-5599 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 16/12/2009 |
| Last Update Date | 13/12/2010 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.