Individual provider · Type 1 NPI

Patricia Jean Shannon, PhD, LP

Psychologist · Minneapolis, MN

NPI number 1053419796 Active

Practice location

3133 Hennepin Ave
Minneapolis, MN 55408-2620

Call (612) 834-7780 Map

Fax (612) 624-3744

Mailing address

3108 Hennepin Ave
Minneapolis, MN 55408-2619

Specialties and licenses

TaxonomyCodeLicense
Psychologist Primary 103T00000X4075 (MN)

Psychologist: A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and procedures, for the purpose of preventing or eliminating symptomatic, maladaptive, or undesired behavior and of enhancing interpersonal relationships, work and life adjustmen…

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About NPI 1053419796

Patricia Jean Shannon, PhD, LP's National Provider Identifier is 1053419796, issued on Sep 20, 2006. The primary taxonomy on file is Psychologist (103T00000X), and the practice location is in Minneapolis, MN. The record was last updated on Sep 29, 2015.