Individual provider · Type 1 NPI

Andrea Marie Shannon

Psychologist · Louisville, KY

NPI number 1376556563 Active

Practice location

101 W Muhammad Ali Blvd
Louisville, KY 40202-1423

Call (502) 589-8600 Map

Fax (502) 589-8771

Mailing address

4710 Champions Trace Ln, 107
Louisville, KY 40218-3495

Specialties and licenses

TaxonomyCodeLicense
Psychologist Primary 103T00000X127994 (KY)

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 1376556563

Andrea Marie Shannon's National Provider Identifier is 1376556563, issued on Aug 15, 2006. The primary taxonomy on file is Psychologist (103T00000X), and the practice location is in Louisville, KY. The record was last updated on Jun 8, 2016.