Shannon Mcshane
Addiction Psychologist (Substance Use Disorder)
464 Washington St
Monument
, Colorado 80132-9171
Shannon Mcshane
Addiction Psychologist (Substance Use Disorder)
464 Washington St
Monument
, Colorado 80132-9171
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About
Features
Specialties
- Addiction Psychologist (Substance Use Disorder)
Languages spoken
- English
Location
First Address
- Shannon Mcshane
- Po Box 3282
- Monument, CO
- Zip : 80132-3282
- Phone :
Second Address
- Shannon Mcshane
- 464 Washington St
- Monument, CO
- Zip : 80132-9171
- Phone : (210) 464-2404
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 103TA0400X | Addiction Psychologist (Substance Use Disorder) | ACB.0008256 | CO |
National Provider Identifier
| NPI | 1295298826 |
|---|---|
| Provider Name | Shannon Mcshane |
| First Address | Monument, CO 80132-3282 |
| Second Address | Monument, CO 80132-9171 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 10/04/2019 |
| Last Update Date | 09/04/2020 |
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.