Shannon Frances Griswold, PSYD is a
Psychologist - Clinical based in San Pedro, California. Shannon Frances Griswold is licensed to practice in Pennsylvania (license number PS017621) and her current practice location is
314 S Miraleste Dr Unit 120, San Pedro, California. She can be reached at her office (for appointments etc.) via phone at
(828) 545-9502.
NPI number for Shannon Frances Griswold is 1144538620 and her current mailing address is 314 S Miraleste Dr Unit 120, San Pedro, California. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1144538620.
Healthcare Provider's Profile
| Full Name | Shannon Frances Griswold |
|---|
| Gender | Female |
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| Speciality | Psychologist - Clinical |
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| Location | 314 S Miraleste Dr Unit 120, San Pedro, 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: 1144538620
- Provider Enumeration Date: 09/19/2010
- Last Update Date: 03/17/2018
Medical Identifiers
Medical identifiers for Shannon Frances Griswold such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1144538620 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Secondary |
| 103TC0700X | Psychologist - Clinical | PS017621 (Pennsylvania) | 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 Frances Griswold 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 Frances Griswold, PSYD
314 S Miraleste Dr Unit 120,
San Pedro, CA 90732-3005
Ph: (828) 545-9502 | Shannon Frances Griswold, PSYD
314 S Miraleste Dr Unit 120,
San Pedro, CA 90732-3005
Ph: (828) 545-9502 |
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