Shannon Kathleen Wilson in Laguna Hills - Clinical
Shannon Kathleen Wilson - NPI 1881707610
Shannon Kathleen Wilson is a Clinical in Laguna Hills, California. Shannon Kathleen Wilson practices all healthcare services and medical treatments related to Clinical. The NPI Number for Shannon Kathleen Wilson is 1881707610. The last update date is 2022-12-22.
Shannon Kathleen Wilson's current location address is 23461 S Pointe Dr Ste 220, Laguna Hills, California. You can contact this provider via phone number 9498551556. The mailing address for Shannon Kathleen Wilson is 23461 S Pointe Dr Ste 220, Laguna Hills, California. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Shannon Kathleen Wilson |
|---|---|
| Address | 23461 S Pointe Dr Ste 220, Laguna Hills, California |
| Phone Number | 9498551556 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | PSY.D. |
NPI Number Detail
| NPI Number | 1881707610 |
|---|---|
| Provider Enumeration Date | 2006-08-16 |
| Last Updated Date | 2022-12-22 |
Provider Mailing Address Detail
| Address | 23461 S Pointe Dr Ste 220 |
|---|---|
| City | Laguna Hills |
| State | California (CA) |
| Post Code | 926531523 |
| Phone Number | 9498551556 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 103Tc0700X |
| Licence No | PSY27323 |
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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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What is the unique identifier code issued to Shannon Kathleen Wilson by the Centers for Medicare & Medicaid Services?
The Shannon Kathleen Wilson has been assigned the NPI (National Provider Identifier) 1881707610. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Where is the Shannon Kathleen Wilson located?
The Shannon Kathleen Wilson is located at 23461 S Pointe Dr Ste 220, Laguna Hills, CA 926531523.
What is Shannon Kathleen Wilson's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?
The primary area of medical expertise for Shannon Kathleen Wilson is Clinical, and the corresponding taxonomy classification code for this specialized field is 103Tc0700X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1881707610 to Shannon Kathleen Wilson?
The Centers for Medicare & Medicaid Services originally issued the 1881707610 to Shannon Kathleen Wilson on 2006-08-16.
As of what date were the Shannon Kathleen Wilson's details last updated?
The information pertaining to the Shannon Kathleen Wilson, including its address, specialty, and other details, was most recently updated on 2022-12-22.
NPI Number: 1730182858
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