Shannon A Bruno-Scoggins, PHD
Individual provider Active NPI Clinical Psychologist · Aledo, TX
NPI 1407198328 · NPPES record last updated May 28, 2026
Key facts
- NPI
- 1407198328
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Clinical Psychologist 103TC0700X
- License
- 1231 (LA)
- Practice address
- 1736 McDavid CT
Aledo, TX 76008-2848 - Phone
- (737) 420-3971
- NPI assigned
- Mar 18, 2013
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1231 | LA | MD | Addiction (Substance Use Disorder) Counselor |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | 1231 | LA | Yes |
Addresses
Primary practice location
1736 McDavid CT
Aledo, TX 76008-2848
Mailing address
1736 McDavid CT
Aledo, TX 76008-2848
Phone (737) 420-3971
Other providers in Aledo, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 28, 2026. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.