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Search › Illinois › 103T00000X

Tim Shannon, PSYD

NPI 1407956758 · on the registry since 2006

Practice

Address
405 Kays Dr Ste C
Normal, IL 61761
Phone
(309) 664-3130
Fax
(309) 664-3528
Organisation at this address
Mental Wellness Center Inc
Central Il Psychiatric Associates, Inc
Inferred from a shared address, not stated in the registry.
Clinicians at this address
25

Registry record

Primary taxonomy
103T00000X
103T00000X
Licence states on file
IL
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2011-05-09

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Illinois