Individual
SHANNON IVY HARRIS
Active
Individual
SHANNON IVY HARRIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PSYD
Taxonomy
Speciality
Code
Description
License number
State
103TB0200X
Cognitive & Behavioral Psychologist
Primary
20043698A
IN
103TC0700X
Clinical Psychologist
20043698A
IN
103TH0100X
Health Service Psychologist
20043698B
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1104565401
ANTHEM PTAN
IN
05
—
300098450
—
IN
Enumeration date
10/02/2024
Last updated
02/11/2025
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up