Shannon M Sticken, PSYD is a
Psychologist - Clinical based in Tucson, Arizona. Shannon M Sticken is licensed to practice in Arizona (license number 4233) and her current practice location is
1661 N Swan Rd Ste 200-3, Tucson, Arizona. She can be reached at her office (for appointments etc.) via phone at
(520) 326-5761.
NPI number for Shannon M Sticken is 1417281296 and her current mailing address is 1661 N Swan Rd Ste 200-3, Tucson, Arizona. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1417281296.
Healthcare Provider's Profile
Full Name | Shannon M Sticken |
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Gender | Female |
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Speciality | Psychologist - Clinical |
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Location | 1661 N Swan Rd Ste 200-3, Tucson, Arizona |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1417281296
- Provider Enumeration Date: 09/25/2009
- Last Update Date: 02/14/2023
Medical Identifiers
Medical identifiers for Shannon M Sticken such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1417281296 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
101Y00000X | Counselor | (* (Not Available)) | Secondary |
103TC0700X | Psychologist - Clinical | 4233 (Arizona) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Shannon M Sticken is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Shannon M Sticken, PSYD 1661 N Swan Rd Ste 200-3, Tucson, AZ 85712-4042 Ph: (520) 326-5761 | Shannon M Sticken, PSYD 1661 N Swan Rd Ste 200-3, Tucson, AZ 85712-4042 Ph: (520) 326-5761 |
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