Shannon, Tracy E

Shannon, Tracy E is an individual health care provider with primary practice located at 480 Medical Center Dr , Columbus OH 43210-1229. She recently has only one registered license in Behavioral Health & Social Service Providers / Rehabilitation, which is considered as her primary health care specialty. Shannon, Tracy E can be contacted via phone (614) 293-3830.

Contact Information

Primary practice address
480 Medical Center Dr Columbus OH 43210-1229
Fax: (614) 293-4870
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Rehabilitation 103TR0400X P.7251 Ohio

Profile Details

NPI number 1972839660
LBN Legal business name Shannon, Tracy E
Credentials PSYD
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 30th, 2009
Last updated Apr 21st, 2026 - about 6 months ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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