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General NPI Number Information
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NPI Number | 1114822152
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Entity Type | Organization
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Legal Business Name | SHANNON PATTERSON PHD LLC
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Dates
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Enumeration Date | 10/09/2026
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Last Update Date | 10/09/2026
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Provider Practice Location Address
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Address Line | 1882 E MAIN ST STE 202
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City | MADISON
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State | WI
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Zip | 53704-5288
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Country | US
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Telephone | 608-515-8673
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Fax | 353-200-9796
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Provider Business Mailing Address
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Address Line | 1882 E MAIN ST STE 202
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City | MADISON
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State | WI
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Zip | 53704-5288
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Country | US
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Telephone | 608-515-8673
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Fax | 353-200-9796
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Authorized Official
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Title or Position | LICENSED PSYCHOLOGIST
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Name | DR. SHANNON LYNN PATTERSON
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Credential | PHD
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Telephone | 608-495-0814
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM0801X
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Taxonomy Name | Mental Health Clinic/Center (Including Community Mental Health Center)
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License Number |
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License Number State | NULL
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