Dr. Shanna Tillman, Psy.D.
Psychologist, Clinical in Cary, NC. Individual provider (NPI-1).
NPI number1982145371
StatusActive
Last updated in NPPESJan 15, 2025
Details
- NPI
- 1982145371
- Entity type
- Individual (NPI-1)
- Name
- Dr. Shanna Tillman
- Credential
- Psy.D.
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Mar 17, 2017
- Certification date
- Jan 15, 2025
- Last updated
- Jan 15, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 103TC0700X | Psychologist, Clinical | PSYC.00013493 | CO | Yes |
Practice location
1135 Kildaire Farm Rd Ste 200Cary, NC 27511-4587
Phone 719-725-9575
Mailing address
1135 Kildaire Farm Rd Ste 200Cary, NC 27511-4587
Phone 719-725-9575
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