Shannon Lerach, Ph.D., Inc., A Psychological Corporation
LBN: Shannon Lerach, Ph.D., Inc., A Psychological Corporation
Shannon Lerach, Ph.D., Inc., A Psychological Corporation is an health care organization with primary practice located at 243 N Highway 101 Ste 16 , Solana Beach CA 92075-1167. The organization recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Clinical, Behavioral Health & Social Service Providers / Clinical Child & Adolescent. Behavioral Health & Social Service Providers / Clinical is the primary health care specialty.
Shannon Lerach, Ph.D., Inc., A Psychological Corporation can be contacted via phone (619) 817-5320, or through Lerach, Shannon via phone (619) 817-5320.
Contact Information
Primary practice address
243 N Highway 101 Ste 16
Solana Beach CA 92075-1167
Phone: (619) 817-5320
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 103TC0700X | ||
| Behavioral Health & Social Service Providers / Clinical Child & Adolescent | 103TC2200X |
Profile Details
| NPI number | 1679288666 |
|---|---|
| LBN Legal business name | Shannon Lerach, Ph.D., Inc., A Psychological Corporation |
| DBA Doing business as | |
| Authorized official | Lerach, Shannon PH.D. |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Jan 16th, 2023 |
| Last updated | Jan 16th, 2023 - about last year |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1679288666 | NPPES |
| California | MEDICAID | 1396983748 | |
| California | MEDICAID | 1902947005 |
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