# SHANNON PSYCHIATRY

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1568033371
- **Authorized official:** ROBIN SHANNON FNP, PMHNP (OWNER)
- **Authorized official phone:** (617) 858-1833

## Contact information

- **Practice address:** 6 LIBERTY SQUARE, PMB 311, BOSTON, MA 02109
- **Practice address phone:** (617) 858-1833
- **Mailing address:** 6 LIBERTY SQUARE, PMB 311, BOSTON, MA 02109
- **Mailing address phone:** (617) 858-1833

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 363LP0808X | Psychiatric/Mental Health Nurse Practitioner | — | NULL | Yes |
| 363LP0808X | Psychiatric/Mental Health Nurse Practitioner | — | — | Yes |

## Other

- **Enumeration date:** 07/02/2021
- **Last updated:** 07/08/2021