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Individual

SHANNAH LYNNE BIGGAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PH.D.

Contact information

Practice address
7461 E TANQUE VERDE RD, TUCSON, AZ 85715-3477
(520) 352-9955
(833) 915-0222
Mailing address
2450 E RIVER RD, TUCSON, AZ 85718-6526
(520) 352-9955
(520) 352-9960

Taxonomy

Speciality
Code
Description
License number
State
103G00000X
Clinical Neuropsychologist
Primary
3255
AZ
103T00000X
Psychologist
3255
AZ

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
193443
MANAGED HEALTH NETWORK
AZ
01
2351033
AETNA
AZ
05
473843
AZ
01
680015965
MEDICARE RAILROAD
AZ
01
AZ0616070
BLUE CROSS BLUE SHIELD AZ
AZ
Enumeration date
02/13/2007
Last updated
11/20/2019
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