Healthcare Provider Details

I. General information

NPI: 1114069234
Provider Name (Legal Business Name): SOUTHWEST NEUROPSYCHOLOGY ASSOCIATES, P.C.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/13/2007
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2650 N WYATT DR
TUCSON AZ
85712-6106
US

IV. Provider business mailing address

2650 N WYATT DR
TUCSON AZ
85712-6106
US

V. Phone/Fax

Practice location:
  • Phone: 520-320-6230
  • Fax: 520-322-3665
Mailing address:
  • Phone: 520-320-6230
  • Fax: 520-322-3665

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code103G00000X
TaxonomyClinical Neuropsychologist
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code103T00000X
TaxonomyPsychologist
License Number
License Number State

VIII. Authorized Official

Name: SHANNAH LYNNE BIGGAN
Title or Position: PRESIDENT
Credential: PH.D.
Phone: 520-320-6230