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DEBORAH L SHANNON
OTHER
DEBORAH L SHANNON is physician registered in the Centers for Medicare & Medicaid Services (CMS). The National Provider Identifier (NPI) of the National Plan and Provider Enumeration System (NPPES) is 1376592527. The unique individual professional ID assigned by Provider Enrollment, Chain, and Ownership System (PECOS) is 5991971764. The primary specialty is CLINICAL SOCIAL WORKER. The organization is D L SHANNON AND ASSOCIATES INC. The address is 465 SUMMERHAVEN DR A, , DEBARY, FL, 327135211. The zip code is 327135211.
| Nation Provider ID | 1376592527 |
|---|---|
| PAC ID by PECOS | 5991971764 |
| Professional Enrollment ID | I20111228000270 |
| Name | DEBORAH L SHANNON |
| Medical School Name | OTHER |
| Graduation Year | 1986 |
| Primary Specialty | CLINICAL SOCIAL WORKER |
| All secondary specialties | |
| Organization Name | D L SHANNON AND ASSOCIATES INC |
| Group Practice PAC ID | 9133395205 |
| Number of Group Practice members | 1 |
| Address | 465 SUMMERHAVEN DR A, , DEBARY, FL, 327135211 |
| Hospital affiliation LBN | |
| Graduation Year | 1986 |
| Contact Number | 3866687428 |
| Email Address | [Show_Email_ID] |
| Phone Number | [Show_Phone] |
| Website | [Show_Website] |