Shannon Elizabeth Kersey, LPA - Psychologist in Charlotte, NC

Shannon Elizabeth Kersey, LPA is a Psychologist - Clinical Child & Adolescent based in Charlotte, North Carolina. Shannon Elizabeth Kersey is licensed to practice in North Carolina (license number 2531) and her current practice location is 4425 Randolph Rd, Suite 208, Charlotte, North Carolina. She can be reached at her office (for appointments etc.) via phone at (704) 323-6586.

NPI number for Shannon Elizabeth Kersey is 1720190234 and her current mailing address is 4425 Randolph Rd, Suite 208, Charlotte, North Carolina. She does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1720190234.

Contact Information

Shannon Elizabeth Kersey, LPA
4425 Randolph Rd, Suite 208,
Charlotte, NC 28211-2351
(704) 323-6586
Not Available

Map and Direction




Healthcare Provider's Profile

Full NameShannon Elizabeth Kersey
GenderFemale
SpecialityPsychologist - Clinical Child & Adolescent
Location4425 Randolph Rd, Charlotte, North Carolina
Accepts Medicare AssignmentsDoes not participate in Medicare Program. She may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1720190234
  • Provider Enumeration Date: 08/31/2006
  • Last Update Date: 09/25/2012

Medical Identifiers

Medical identifiers for Shannon Elizabeth Kersey such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1720190234NPI-NPPES
6107171MedicaidNC

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
103TC2200XPsychologist - Clinical Child & Adolescent 2531 (North Carolina)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 Elizabeth Kersey 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 AddressPractice Location Address
Shannon Elizabeth Kersey, LPA
4425 Randolph Rd, Suite 208,
Charlotte, NC 28211-2351

Ph: (704) 323-6586
Shannon Elizabeth Kersey, LPA
4425 Randolph Rd, Suite 208,
Charlotte, NC 28211-2351

Ph: (704) 323-6586

Reviews and Comments


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