| Dr Shannon Nicole Walker, PHD | |
|
9 Junction Dr W, Suite 6, Glen Carbon, IL 62034-2931 | |
| (618) 710-4123 | |
| (618) 731-4082 |
| Full Name | Dr Shannon Nicole Walker |
|---|---|
| Gender | Female |
| Speciality | Clinical Psychologist |
| Experience | 19 Years |
| Location | 9 Junction Dr W, Glen Carbon, Illinois |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1801020573 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | 071.007664 (Illinois) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Southern Il Institute Of Behavioral Health Pc | 8527190206 | 5 |
| Entity Name | Southern Il Institute Of Behavioral Health Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1346562881 PECOS PAC ID: 8527190206 Enrollment ID: O20100715000368 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Shannon Nicole Walker, PHD 9 Junction Dr W, Suite 6, Glen Carbon, IL 62034-2931 Ph: (618) 710-4123 | Dr Shannon Nicole Walker, PHD 9 Junction Dr W, Suite 6, Glen Carbon, IL 62034-2931 Ph: (618) 710-4123 |
Dr. Marissa Gowey, PHD Psychologist Medicare: Not Enrolled in Medicare Practice Location: 9 Junction Dr W Ste 1, Glen Carbon, IL 62034 Phone: 314-246-0782 | |
Dr. Cheryl L. Hennig, PSY.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 9 Junction Dr W, Suite 3, Glen Carbon, IL 62034 Phone: 618-972-1568 Fax: 618-654-8231 | |
Dr. David T. Wells, PH.D Psychologist Medicare: Not Enrolled in Medicare Practice Location: 6-b Glen-ed Professional Park, Glen Carbon, IL 62034 Phone: 618-692-9600 Fax: 618-692-9607 | |
Jon R Novotney, Psychologist Medicare: Not Enrolled in Medicare Practice Location: 3 Equestrian Ct N, Glen Carbon, IL 62034 Phone: 815-343-9509 |