DataLabs
datalabs.health made in the usa
DataLabs Facebook Wall   Like   Follow DataLabs on Twitter   Tweet  
Contact us Sign in |  Documentation | 
NPI Code Detail

MEDICARE: DR. SHANNON KATHLEEN WILSON PSY.D.

MEDICARE: DR. SHANNON KATHLEEN WILSON PSY.D.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1103TC0700XClinical PsychologistPSY27323CA

General Provider Information

NPI Number : 1881707610
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. SHANNON KATHLEEN WILSON PSY.D.
Provider Business Mailing Address
First Line : 23461 S POINTE DR
Second Line : SUITE 220
City : LAGUNA HILLS
State : CA
Zip : 92653-1547
Country : US
Telephone Number : 949-235-1081
Fax Number :
Provider Business Practice Location Address
First Line : 23461 S POINTE DR STE 220
Second Line :
City : LAGUNA HILLS
State : CA
Zip : 92653-1523
Country : US
Telephone Number : 949-855-1556
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/16/2006
Last Update Date : 12/22/2022

Similar Medicare Providers

1093270910 — MS. KENDALL MARIE WEBER B.S.
Practice Location Address:
23461 S POINTE DR STE 220
LAGUNA HILLS, CA
92653-1523
Practice Phone: 949-235-1081
Practice Fax:
1538022561 — ARIA DUDLEY
Practice Location Address:
23461 S POINTE DR STE 100
LAGUNA HILLS, CA
92653-1523
Practice Phone: 949-452-0888
Practice Fax:
1699831255 — JACKIE NABIL GIRGIS LCSW
Practice Location Address:
23461 S POINTE DR STE 220
LAGUNA HILLS, CA
92653-1523
Practice Phone: 949-900-5380
Practice Fax: 949-595-0296
1518083682 — MS. KATHARINE ANNE ROSAS LCSW
Practice Location Address:
23461 S POINTE DR STE 220
LAGUNA HILLS, CA
92653-1523
Practice Phone: 949-900-3253
Practice Fax:
1891993838 — DR. NICOLE AYN ALBIE PSY.D., LMFT
Practice Location Address:
23461 S POINTE DR STE 220
LAGUNA HILLS, CA
92653-1523
Practice Phone: 949-855-1556
Practice Fax: 949-951-2871
1134311293 — DR. KRISTIN RENEE BACHMAN
Practice Location Address:
23461 S POINTE DR STE 220
LAGUNA HILLS, CA
92653-1523
Practice Phone: 949-855-1556
Practice Fax: 949-951-2871

Directions to “ DR. SHANNON KATHLEEN WILSON PSY.D.” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2025 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.