| Dr. Shannon Parks D.o. Llc | |
|
55 N Gilbert St Ste 1103 Tinton Falls NJ 07701-4956 | |
| (732) 447-2545 | |
| (732) 447-2554 |
| Full Name | Dr. Shannon Parks D.o. Llc |
|---|---|
| Speciality | Psychiatry & Neurology - Psychiatry |
| Location | 55 N Gilbert St Ste 1103, Tinton Falls, New Jersey |
| Authorized Official Name and Position | Shannon Noelle Parks (CEO) |
| Authorized Official Contact | 2074501567 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Dr. Shannon Parks D.o. Llc 55 N Gilbert St Ste 1103 Tinton Falls NJ 07701-4956 Ph: (732) 447-2545 | Dr. Shannon Parks D.o. Llc 55 N Gilbert St Ste 1103 Tinton Falls NJ 07701-4956 Ph: (732) 447-2545 |
| NPI Number | 1235935362 |
|---|---|
| Provider Enumeration Date | 02/20/2025 |
| Last Update Date | 02/20/2025 |
| Certification Date | 02/20/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1235935362 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | (* (Not Available)) | Primary |
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