Shannon Elizabeth Kersey LPA

NPI 1720190234 - Psychologist - 103TC2200X

NPI Details
NPI 1720190234
Gender Female
Enumeration Date 08/31/2006
Last Updated 09/25/2012
Entity Type Individual
Active Over 10 years ago
Practice Location
4425 RANDOLPH RD
SUITE 208
CHARLOTTE NC, 28211-2351, US
Phone (704) 323-6586
Fax
Business Location
4425 RANDOLPH RD
SUITE 208
CHARLOTTE NC, 28211-2351, US
Phone (704) 323-6586
Fax
Toxanomy
Taxonomy Code 103TC2200X
License State North Carolina
License Number 2531
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According to our database, Shannon Elizabeth Kersey LPA NPI is 1720190234, taxonomy code is 103TC2200X and license number is 2531, license state is located at North Carolina. Shannon Elizabeth Kersey LPA physically located at 4425 Randolph Rd, Charlotte NC, 28211-2351. NPI Number Shannon Elizabeth Kersey LPA has the Individual type.

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1720190234 NPI number is provided on an as is basis without warranty of any kind. 1720190234 is maintained by the National Plan & Provider Enumeration System. The contents of Shannon Elizabeth Kersey LPA are for informational purposes only.