Dr. William Mack Shannon
Psychologist Cognitive & Behavioral Psychologist
1207 Indiana St Apt 5
San Francisco
, California 94107-3466
Dr. William Mack Shannon
Psychologist Cognitive & Behavioral Psychologist
1207 Indiana St Apt 5
San Francisco
, California 94107-3466
(510) 290-6203
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About
Features
Specialties
- Psychologist
- Cognitive & Behavioral Psychologist
Languages spoken
- English
Location
First Address
- Dr. William Mack Shannon
- 1207 Indiana St Apt 5
- San Francisco, CA
- Zip : 94107-3466
- Phone : (510) 290-6203
Second Address
- Dr. William Mack Shannon
- 1207 Indiana St Apt 5
- San Francisco, CA
- Zip : 94107-3466
- Phone : (510) 290-6203
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| N | 102L00000X | Psychologist | PSY-22103 | CA |
| N | 103T00000X | Psychologist | PSY-22103 | CA |
| Y | 103TB0200X | Cognitive & Behavioral Psychologist | PSY-22103 | CA |
National Provider Identifier
| NPI | 1063668275 |
|---|---|
| Provider Name | Dr. William Mack Shannon |
| First Address | San Francisco, CA 94107-3466 |
| Second Address | San Francisco, CA 94107-3466 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 07/08/2008 |
| Last Update Date | 07/08/2008 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.