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:
Health care specialties
| Specialty | Code | License # | 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 2 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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