Individual
MS. SHANNON LIMERICK-GNAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA LIC PSYCHOLOGIST
Contact information
Practice address
219 3RD ST, BEAVER, PA 15009-2301
(724) 775-9150
(724) 775-9153
Mailing address
219 3RD ST, BEAVER, PA 15009-2301
(724) 775-9150
(724) 775-9153
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
PS006277L
PA
103TA0700X
Adult Development & Aging Psychologist
—
—
103TB0200X
Cognitive & Behavioral Psychologist
—
—
103TC0700X
Clinical Psychologist
PS006277-L
PA
103TC1900X
Counseling Psychologist
—
—
103TC2200X
Clinical Child & Adolescent Psychologist
—
—
103TF0000X
Family Psychologist
—
—
Other
Enumeration date
09/13/2005
Last updated
09/02/2009
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