Kelly Shannon is a Clinical in San Antonio, Texas. Kelly Shannon practices all healthcare services and medical treatments related to Clinical. The NPI Number for Kelly Shannon is 1699874198. The last update date is 2009-03-24.
Kelly Shannon's current location address is Po Box 120041, San Antonio, Texas. You can contact this provider via phone number 2102791516 and fax number 2107330141. The mailing address for Kelly Shannon is Po Box 120041, San Antonio, Texas. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Kelly Shannon |
|---|---|
| Address | Po Box 120041, San Antonio, Texas |
| Phone Number | 2102791516 |
| Fax Number | 2107330141 |
| Sole Proprietor | Y |
| Credentials | PHD |
NPI Number Detail
| NPI Number | 1699874198 |
|---|---|
| Provider Enumeration Date | 2006-09-21 |
| Last Updated Date | 2009-03-24 |
Provider Mailing Address Detail
| Address | Po Box 120041 |
|---|---|
| City | San Antonio |
| State | Texas (TX) |
| Post Code | 782129241 |
| Phone Number | 2102791516 |
| Fax Number | 2107330141 |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 103Tc0700X |
| Licence No | 3034-02-01 0 |
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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 |
|---|---|---|---|
| H00088RY01 | TX | BCBS - TX | |
| 35931704 | TX | -- |
Post Comment/ Review Below
What is the Kelly Shannon's 1699874198?
The Kelly Shannon's NPI (National Provider Identifier) Number is 1699874198. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Where is the Kelly Shannon located?
The Kelly Shannon is located at Po Box 120041, San Antonio, TX 782129241.
What is Kelly Shannon's specialized field of practice, and what is the corresponding taxonomy classification code?
The Kelly Shannon's area of specialization is Clinical, and the corresponding taxonomy code that categorizes this field of practice is 103Tc0700X.
When did Kelly Shannon receive its 1699874198 assignment?
The Kelly Shannon was assigned its 1699874198 on 2006-09-21, which is the date when this unique identifier was issued to the organization.
As of what date were the Kelly Shannon's details last updated?
The information pertaining to the Kelly Shannon, including its address, specialty, and other details, was most recently updated on 2009-03-24.