Tim Shannon PSYD

  • NPI 1407956758
According to our database, the NPI number for Tim Shannon PSYD is 1407956758 and activated since 17 years ago. Tim Shannon PSYD is an individual provider who specializes in Psychologist, and the primary practice location is 405 Kays Dr Ste C, Normal, IL 61761. You can also contact Tim Shannon PSYD via telephone number is (309) 664-3130. Provider NPI information was last updated on 05/09/2011.

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Overview of Tim Shannon PSYD

  • NPI number: 1598434045
  • Provider type: Individual
  • Gender: Male
  • Active since: 09/25/2006
  • Last updated: 05/09/2011

Primary Scrop of Practice

  • Taxonomy Code: 103T00000X
  • Specialty: Psychologist
  • License Number: 071004783
  • License State: IL

Provider Mailing Address

  • Address: 405 Kays Dr Ste C
    Normal, IL 61761
  • Phone: 309-664-3130
  • Fax: 309-664-3528

Provider Practice Location

  • Address: 405 Kays Dr Ste C
    Normal, IL 61761
  • Phone: 309-664-3130
  • Fax: 309-664-3528

Scope of Practice

  • Taxonomy Code: 103T00000X
  • Specialty: Psychologist
  • License Number: 071004783
  • License State: IL
  • Switch: Yes

Legacy Identifiers

  • Provider Identifier: DP5951
  • Identifier Type: Other
  • Identifier State:
  • Issuer: RR MEDICARE GROUP

Question & Answers

  • Q: What is the npi number?
  • A: An NPI is a 10-digit numeric identifier. It does not carry information about you, such as the State where you practice, your provider type, or your specialization. Your NPI will not change, even if your name, address, taxonomy, or other information changes.
  • Q: What are health care provider taxonomy codes?
  • A: The Health Care Provider (HCP) Taxonomy Codes Codes define a health care service provider type, classification, and area of specialization.
  • Q: What is the npi number for Tim Shannon PSYD?
  • A: The npi number for Tim Shannon PSYD is 1407956758.
  • Q: What are Tim Shannon PSYD's specialties?
  • A: Tim Shannon PSYD's specialties are Psychologist and different specialities.
  • Q: What is the medical license for Tim Shannon PSYD?
  • A: The medical license number for Tim Shannon PSYD is 071004783 and issued in IL in USA.
  • Q: Where is Tim Shannon PSYD practice location?
  • A: Tim Shannon PSYD is practicing at 405 Kays Dr Ste C, Normal, IL 61761.
  • Q: How to contact Tim Shannon PSYD?
  • A: You can contact Tim Shannon PSYD via 309-664-3130.