James Deane Shannon, PA

NPI #1649372228 in Mt Sterling, Kentucky

Provider Information

NPI Number: 1649372228
Entity Type: Individual
Name: James Deane Shannon, PA
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Psychologist
Credential: PA
Enumeration Date: Sep 2, 2006
Last Updated: Jul 8, 2007

Practice Location

Address: 300 FOXGLOVE DR
City: Mt Sterling
State: Kentucky
ZIP Code: 40353-9769
Phone: (859) 498-2135

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Psychologist	103T00000X	Primary

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