IndividualActive
Tracy Shannon, PSYD
NPI 1972839660 · Rehabilitation Psychologist · Columbus, OH
Provider details
- NPI number
- 1972839660
- Entity type
- Individual
- Primary specialty
- Rehabilitation PsychologistBehavioral Health & Social Service Providers
- Credential
- PSYD
- Sex
- Female
- Sole proprietor
- No
- License
- P.7251 (OH)
Practice location
480 Medical Center Dr
Columbus, OH 43210-1229
Phone: (614) 293-3830
Fax: (614) 293-4870
Mailing address
700 Ackerman Rd Ste 2120
Columbus, OH 43202-1559
Registry dates
- Enumerated
- 2009-10-30
- Last updated
- 2026-04-21
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.