Individual
SHANNON CORNELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
526 B ST, DAVIS, CA 95616-3811
(530) 757-5300
Mailing address
2445 BUZZ ALDRIN WAY, SACRAMENTO, CA 95834-4040
(559) 274-7957
Taxonomy
Speciality
Code
Description
License number
State
103TS0200X
School Psychologist
Primary
—
—
Other
Enumeration date
03/25/2019
Last updated
08/15/2025
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