Individual
DR. TRACY E SHANNON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PSYD
Contact information
Practice address
480 MEDICAL CENTER DR, COLUMBUS, OH 43210-1229
(614) 293-3830
(614) 293-4870
Mailing address
700 ACKERMAN RD STE 2120, COLUMBUS, OH 43202-1559
(614) 293-3830
(614) 293-4870
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
6301015476
MI
103TR0400X
Rehabilitation Psychologist
Primary
P.7251
OH
Other
Enumeration date
10/30/2009
Last updated
04/21/2026
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