Shannon Deneice Ledesma in Tacoma - Clinical
Shannon Deneice Ledesma - NPI 1578500328
Shannon Deneice Ledesma is a Clinical in Tacoma, Washington. Shannon Deneice Ledesma practices all healthcare services and medical treatments related to Clinical. The NPI Number for Shannon Deneice Ledesma is 1578500328. The last update date is 2019-06-28.
Shannon Deneice Ledesma's current location address is 9040-a Jackson Ave, Tacoma, Washington. You can contact this provider via phone number 2539683517. The mailing address for Shannon Deneice Ledesma is 9040-a Jackson Ave, Tacoma, Washington. To know further, please read the information below!
Provider Profile Detail
Provider Name | Shannon Deneice Ledesma |
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Address | 9040-a Jackson Ave, Tacoma, Washington |
Phone Number | 2539683517 |
Fax Number | |
Sole Proprietor | N |
Credentials | PH.D |
NPI Number Detail
NPI Number | 1578500328 |
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Provider Enumeration Date | 2006-06-01 |
Last Updated Date | 2019-06-28 |
Provider Mailing Address Detail
Address | 9040-a Jackson Ave |
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City | Tacoma |
State | Washington (WA) |
Post Code | 984310001 |
Phone Number | 2539683517 |
Fax Number |
Provider's Primary Taxonomy Detail
Speciality | Clinical |
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Taxonomy | 103Tc0700X |
Licence No | PY00002517 |
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 |
Provider's Other Legacy Identifiers
Identifier | Identifier Type | Identifier State | Identifier Issuer |
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7574JO | WA | REGENCE |
Post Comment/ Review Below
What is the unique provider identifier assigned to Shannon Deneice Ledesma?
The Shannon Deneice Ledesma has been issued the NPI (National Provider Identifier) 1578500328 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Could you please share the complete physical location address where Shannon Deneice Ledesma's facilities are situated?
The facilities of Shannon Deneice Ledesma are physically located at the following address: 9040-A Jackson Ave, Tacoma, WA, 984310001.
What is Shannon Deneice Ledesma's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?
The primary field of medical specialization for Shannon Deneice Ledesma is Clinical, and the taxonomy classification code that categorizes this area of expertise is 103Tc0700X.
When did the Shannon Deneice Ledesma receive its 1578500328?
The Shannon Deneice Ledesma was issued its 1578500328 on 2006-06-01, which is the date when the organization was assigned this unique identifier.
When was the Shannon Deneice Ledesma's information last updated?
The Shannon Deneice Ledesma's information was last updated on 2019-06-28.