Gregory D. Shannon is a Clinical in Larned, Kansas. Gregory D. Shannon practices all healthcare services and medical treatments related to Clinical. The NPI Number for Gregory D. Shannon is 1700041456. The last update date is 2008-07-22.
Gregory D. Shannon's current location address is 1301 Kansas Hwy 264, Larned, Kansas. You can contact this provider via phone number 6202854216. The mailing address for Gregory D. Shannon is 1301 Kansas Hwy 264, Larned, Kansas. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Gregory D. Shannon |
|---|---|
| Address | 1301 Kansas Hwy 264, Larned, Kansas |
| Phone Number | 6202854216 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | PSY.D |
NPI Number Detail
| NPI Number | 1700041456 |
|---|---|
| Provider Enumeration Date | 2008-07-22 |
| Last Updated Date | 2008-07-22 |
Provider Mailing Address Detail
| Address | 1301 Kansas Hwy 264 |
|---|---|
| City | Larned |
| State | Kansas (KS) |
| Post Code | 675505353 |
| Phone Number | 6202854216 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 103Tc0700X |
| Licence No | T-LP 1742 |
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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 |
|---|---|---|---|
| T-LP 1742 | KS | KANSAS STATE LICENSE |
Post Comment/ Review Below
What is the unique 10-digit identifier code assigned to Gregory D. Shannon by the Centers for Medicare & Medicaid Services?
The Gregory D. Shannon has been issued the NPI (National Provider Identifier) 1700041456 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Could you share the physical location details of Gregory D. Shannon?
The Gregory D. Shannon is situated at 1301 Kansas Hwy 264, in the city of Larned, state of KS, with the zip code 675505353.
What is Gregory D. Shannon's specialized field of practice, and what is the corresponding taxonomy classification code?
The Gregory D. Shannon's area of specialization is Clinical, and the corresponding taxonomy code that categorizes this field of practice is 103Tc0700X.
When was the Gregory D. Shannon's 1700041456 issued?
The Gregory D. Shannon's 1700041456 was issued on 2008-07-22.
As of what date was the information pertaining to Gregory D. Shannon, such as address, specialty, and other details, last reviewed and confirmed to be accurate?
The information related to Gregory D. Shannon, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2008-07-22.
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