Organization
SHANNON AND ASSOCIATES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOSEPH W. SHANNON PHD (OWNER)
(614) 297-0422
Entity
Organization
Contact information
Practice address
1155 W 3RD AVE, COLUMBUS, OH 43212-3043
(614) 297-0422
(614) 297-1050
Mailing address
1155 W 3RD AVE, COLUMBUS, OH 43212-3043
(614) 297-0422
(614) 297-1050
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
3402
OH
Other
Enumeration date
08/12/2008
Last updated
10/09/2012
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