IndividualActive
Andrea Shannon
NPI 1376556563 · Psychologist · Louisville, KY
Provider details
- NPI number
- 1376556563
- Entity type
- Individual
- Primary specialty
- PsychologistBehavioral Health & Social Service Providers
- Sex
- Female
- Sole proprietor
- No
- License
- 127994 (KY)
Specialties & taxonomies
Behavioral Health & Social Service Providers
Practice location
101 W Muhammad Ali Blvd
Louisville, KY 40202-1423
Phone: (502) 589-8600
Fax: (502) 589-8771
Approximate (ZIP-level) locationGet directions
Mailing address
4710 Champions Trace Ln
Louisville, KY 40218-3495
Registry dates
- Enumerated
- 2006-08-15
- Last updated
- 2016-06-08
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.