| Shannon Dobbs | |
|
28310 Roadside Dr Ste 203 Agoura Hills CA 91301-4958 | |
| (310) 428-2431 | |
| (800) 713-1290 |
| Full Name | Shannon Dobbs |
|---|---|
| Speciality | Psychologist |
| Location | 28310 Roadside Dr Ste 203, Agoura Hills, California |
| Authorized Official Name and Position | Shannon Dobbs (CLINICAL PSYCHOLOGIST) |
| Authorized Official Contact | 3104282431 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Shannon Dobbs 2060d E Avenida De Los Arboles # 239 Thousand Oaks CA 91362-1376 Ph: (310) 428-2431 | Shannon Dobbs 28310 Roadside Dr Ste 203 Agoura Hills CA 91301-4958 Ph: (310) 428-2431 |
| NPI Number | 1154669604 |
|---|---|
| Provider Enumeration Date | 01/17/2013 |
| Last Update Date | 07/21/2022 |
| Medicare PECOS PAC ID | 5597016410 |
|---|---|
| Medicare Enrollment ID | O20180914002825 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1154669604 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | (California) | Primary |
| Provider Name | Shannon M Dobbs |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1205092046 PECOS PAC ID: 6507928629 Enrollment ID: I20081229000065 |
| Provider Name | Allison L Brown |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1003430430 PECOS PAC ID: 8729400700 Enrollment ID: I20200619001763 |
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