Patricia Jean Shannon in Minneapolis - Psychologist
Patricia Jean Shannon - NPI 1053419796
Patricia Jean Shannon is a Psychologist in Minneapolis, Minnesota. Patricia Jean Shannon practices all healthcare services and medical treatments related to Psychologist. The NPI Number for Patricia Jean Shannon is 1053419796. The last update date is 2015-09-29.
Patricia Jean Shannon's current location address is 3133 Hennepin Ave, Minneapolis, Minnesota. You can contact this provider via phone number 6128347780 and fax number 6126243744. The mailing address for Patricia Jean Shannon is 3133 Hennepin Ave, Minneapolis, Minnesota. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Patricia Jean Shannon |
|---|---|
| Address | 3133 Hennepin Ave, Minneapolis, Minnesota |
| Phone Number | 6128347780 |
| Fax Number | 6126243744 |
| Sole Proprietor | N |
| Credentials | PHD, LP |
NPI Number Detail
| NPI Number | 1053419796 |
|---|---|
| Provider Enumeration Date | 2006-09-20 |
| Last Updated Date | 2015-09-29 |
Provider Mailing Address Detail
| Address | 3133 Hennepin Ave |
|---|---|
| City | Minneapolis |
| State | Minnesota (MN) |
| Post Code | 554082620 |
| Phone Number | 6128347780 |
| Fax Number | 6126243744 |
Provider's Primary Taxonomy Detail
| Speciality | Psychologist |
|---|---|
| Taxonomy | 103T00000X |
| Licence No | 4075 |
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Definition: A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and proce |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 921813100 | MN | -- |
Post Comment/ Review Below
What is the unique 10-digit identification code issued to Patricia Jean Shannon by the Centers for Medicare & Medicaid Services?
The Patricia Jean Shannon has been assigned the NPI (National Provider Identifier) 1053419796 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Could you please provide the complete street address where Patricia Jean Shannon is physically located?
The Patricia Jean Shannon is physically situated at the following address: 3133 Hennepin Ave, Minneapolis, MN, 554082620.
What is the Patricia Jean Shannon's specialty and taxonomy code?
The Patricia Jean Shannon's specialty is Psychologist, and the corresponding taxonomy code is 103T00000X.
When was the Patricia Jean Shannon's 1053419796 issued?
The Patricia Jean Shannon's 1053419796 was issued on 2006-09-20.
As of what date was the information regarding Patricia Jean Shannon, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Patricia Jean Shannon, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2015-09-29.
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