Shannon Mong is a Clinical in Greenbrae, California. Shannon Mong practices all healthcare services and medical treatments related to Clinical. The NPI Number for Shannon Mong is 1992725451. The last update date is 2007-07-24.
Shannon Mong's current location address is 250 Bon Air Rd, Greenbrae, California. You can contact this provider via phone number 4154993240 and fax number 4154996033. The mailing address for Shannon Mong is 250 Bon Air Rd, Greenbrae, California. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Shannon Mong |
|---|---|
| Address | 250 Bon Air Rd, Greenbrae, California |
| Phone Number | 4154993240 |
| Fax Number | 4154996033 |
| Sole Proprietor | N |
| Credentials | PSY.D. |
NPI Number Detail
| NPI Number | 1992725451 |
|---|---|
| Provider Enumeration Date | 2006-07-20 |
| Last Updated Date | 2007-07-24 |
Provider Mailing Address Detail
| Address | 250 Bon Air Rd |
|---|---|
| City | Greenbrae |
| State | California (CA) |
| Post Code | 949041702 |
| Phone Number | 4154993240 |
| Fax Number | 4154996033 |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 103Tc0700X |
| Licence No | 20722 |
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Definition: A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| PSY20722 | CA | PSYCHOLOGIST LICENSE |
Post Comment/ Review Below
What is the unique 10-digit identification code issued to Shannon Mong by the Centers for Medicare & Medicaid Services?
The Shannon Mong has been assigned the NPI (National Provider Identifier) 1992725451 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Could you provide the complete address where Shannon Mong is physically located?
The Shannon Mong is situated at the following address: 250 Bon Air Rd, Greenbrae, CA 949041702.
What is Shannon Mong's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for Shannon Mong is Clinical, and the taxonomy code that categorizes this field of expertise is 103Tc0700X.
On what date was the 1992725451 assigned to Shannon Mong?
The Shannon Mong was issued its 1992725451 on 2006-07-20, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
When was the information regarding Shannon Mong, such as address, specialty, and other details, most recently verified or confirmed to be accurate?
The information pertaining to Shannon Mong, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2007-07-24.