Wilson, Shannon Kathleen

Wilson, Shannon Kathleen is an individual health care provider with primary practice located at 23461 S Pointe Dr Ste 220 , Laguna Hills CA 92653-1523. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Wilson, Shannon Kathleen can be contacted via phone (949) 855-1556.

Contact Information

Primary practice address
23461 S Pointe Dr Ste 220 Laguna Hills CA 92653-1523
Phone: (949) 855-1556
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 103TC0700X PSY27323 California

Profile Details

NPI number 1881707610
LBN Legal business name Wilson, Shannon Kathleen
Credentials PSY.D.
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 16th, 2006
Last updated Dec 22nd, 2022 - about 3 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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