# DR. SHANNON LERACH

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1396983748
- **Gender:** F
- **Credential:** PH.D.

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 103TC1900X | Counseling Psychologist | PSY23705 | CA | — |
| 103TC2200X | Clinical Child & Adolescent Psychologist | PSY 23705 | CA | Yes |
| 103TF0000X | Family Psychologist | PSY 23705 | CA | — |
| 103TF0200X | Forensic Psychologist | PSY23705 | CA | — |

## Other

- **Enumeration date:** 01/22/2009
- **Last updated:** 02/27/2014