Mong, Shannon

Mong, Shannon is an individual health care provider with primary practice located at 250 Bon Air Rd , Greenbrae CA 94904-1702. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Mong, Shannon can be contacted via phone (415) 499-3240.

Contact Information

Primary practice address
250 Bon Air Rd Greenbrae CA 94904-1702
Phone: (415) 499-3240
Fax: (415) 499-6033
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 103TC0700X 20722 California

Profile Details

NPI number 1992725451
LBN Legal business name Mong, Shannon
Credentials PSY.D.
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 20th, 2006
Last updated Jul 24th, 2007 - about 18 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1992725451 NPPES
California Other PSY20722 PSYCHOLOGIST LICENSE

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