Individual
DR. MAX SHANNON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PSY.D.
Contact information
Practice address
6637 114TH AVE SE, BELLEVUE, WA 98006-6433
(503) 766-3690
Mailing address
6637 114TH AVE SE, BELLEVUE, WA 98006-6433
(707) 537-5754
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
PY61019392
WA
Other
Enumeration date
11/20/2015
Last updated
10/07/2020
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