Nicole Shannon, is a
Psychologist - School based in Loudonville, Ohio. Nicole Shannon is licensed to practice in * (Not Available) (license number ) and her current practice location is
3032 County Road 3a, Loudonville, Ohio. She can be reached at her office (for appointments etc.) via phone at
(330) 715-5620.
NPI number for Nicole Shannon is 1073938270 and her current mailing address is 3032 County Road 3a, Loudonville, Ohio. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1073938270.
Healthcare Provider's Profile
Full Name | Nicole Shannon |
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Gender | Female |
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Speciality | Psychologist - School |
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Location | 3032 County Road 3a, Loudonville, Ohio |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1073938270
- Provider Enumeration Date: 02/25/2014
- Last Update Date: 02/25/2014
Medical Identifiers
Medical identifiers for Nicole Shannon such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1073938270 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
103TS0200X | Psychologist - School | (* (Not Available)) | 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. Nicole Shannon 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 |
Nicole Shannon, 3032 County Road 3a, Loudonville, OH 44842-9524 Ph: () - | Nicole Shannon, 3032 County Road 3a, Loudonville, OH 44842-9524 Ph: (330) 715-5620 |
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