Tim Shannon, PSYD

NPI #1407956758 in Normal, Illinois

Provider Information

NPI Number: 1407956758
Entity Type: Individual
Name: Tim Shannon, PSYD
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Psychologist
Credential: PSYD
Enumeration Date: Sep 25, 2006
Last Updated: May 9, 2011

Practice Location

Address: 405 KAYS DR STE C
City: Normal
State: Illinois
ZIP Code: 61761-1979
Phone: (309) 664-3130

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Psychologist	103T00000X	Primary

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