Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Shirley Boone-Sanford, PHD

Individual provider Psychologist · NPI 1609837616

Shirley Boone-Sanford, PHD is a Clinical Psychologist in Lawrenceville, Georgia. Graduated from Southern Illinois University School of Medicine in 1996, 30 years ago. Accepts Medicare assignment and offers telehealth. Licensed in Georgia.

Years since qualifying
30
Trained at
Southern Illinois University School of Medicine
Licensed in
GA
In the registry since
2006
What do these letters mean?
PHD — Doctor of Philosophy
A research doctorate. In healthcare it usually sits alongside a clinical licence.

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Practice location Address checks out

485 S Perry St Ste D
Lawrenceville, GA 30045-4923
Phone: (678) 205-0838
Fax: (678) 205-0800
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Psychologist (primary) Taxonomy 103T00000X · Licence 002451 (GA)

Record details

NPI number1609837616
Entity typeIndividual (Type 1)
GenderFemale
Credentials PHD
Sole proprietorNo
NPI enumeratedMarch 29, 2006
Last updated in NPPESJanuary 3, 2008

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCLINICAL PSYCHOLOGIST
Medical schoolSOUTHERN ILLINOIS UNIVERSITY SCHOOL OF MEDICINE
Graduated 1996 (30 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations3 on file with Medicare

Other providers in Lawrenceville