JOSEPH W SHANNON

Dr JOSEPH W SHANNON is a male medical professional, specializing in Psychologist, Clinical. He graduated in 1982.

Contact

1155 W 3RD AVE
COLUMBUS
OH
432123043

Tel:

JOSEPH W SHANNON Information

Npi 1891797452
Pac Id 5294802161
Professional Enrollment Id I20080918000005
Last Name SHANNON
First Name JOSEPH
Middle Name W
Suffix
Gender M
Credential
Medical School Name OTHER
Graduation Year 1982
Primary Specialty PSYCHOLOGIST, CLINICAL
Secondary Specialty 1
Secondary Specialty 2
Secondary Specialty 3
Secondary Specialty 4
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Organization Legal Name
Group Practice Pac Id
Number Of Group Practice Members
Line 1 Street Address 1155 W 3RD AVE
Line 2 Street Address
Marker Of Address Line 2 Suppression
City COLUMBUS
State OH
Zip Code 432123043
Phone Number
Hospital Affiliation Ccn 1
Hospital Affiliation Lbn 1
Hospital Affiliation Ccn 2
Hospital Affiliation Lbn 2
Hospital Affiliation Ccn 3
Hospital Affiliation Lbn 3
Hospital Affiliation Ccn 4
Hospital Affiliation Lbn 4
Hospital Affiliation Ccn 5
Hospital Affiliation Lbn 5
Professional Accepts Medicare Assignment Y

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