Dr Shannon T Johnson, PSYD is a
Psychologist - Clinical based in Patton, California. Dr Shannon T Johnson is licensed to practice in California (license number PSY21987) and her current practice location is
3102 E. Highland Avenue, Medical Staff Office, Patton, California. She can be reached at her office (for appointments etc.) via phone at
(909) 425-7679.
NPI number for Dr Shannon T Johnson is 1861536831 and her current mailing address is 3102 E. Highland Avenue, Medical Staff Office, Patton, California. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1861536831.
Healthcare Provider's Profile
| Full Name | Dr Shannon T Johnson |
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| Gender | Female |
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| Speciality | Psychologist - Clinical |
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| Location | 3102 E. Highland Avenue, Patton, California |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1861536831
- Provider Enumeration Date: 02/16/2007
- Last Update Date: 08/26/2013
Medical Identifiers
Medical identifiers for Dr Shannon T Johnson such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1861536831 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Secondary |
| 103TC0700X | Psychologist - Clinical | PSY21987 (California) | 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. Dr Shannon T Johnson 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 |
|---|
Dr Shannon T Johnson, PSYD
3102 E. Highland Avenue, Medical Staff Office,
Patton, CA 92369
Ph: (909) 425-7679 | Dr Shannon T Johnson, PSYD
3102 E. Highland Avenue, Medical Staff Office,
Patton, CA 92369
Ph: (909) 425-7679 |
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