Provider Demographics
NPI:1609938877
Name:TRAN, SHANNON (PHD)
Entity Type:Individual
Prefix:DR
First Name:SHANNON
Middle Name:
Last Name:TRAN
Suffix:
Gender:F
Credentials:PHD
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Mailing Address - Street 1:3555 WHIPPLE RD
Mailing Address - Street 2:DEPARTMENT OF PSYCHIATRY
Mailing Address - City:UNION CITY
Mailing Address - State:CA
Mailing Address - Zip Code:94587-1507
Mailing Address - Country:US
Mailing Address - Phone:510-675-3306
Mailing Address - Fax:510-675-4648
Practice Address - Street 1:3555 WHIPPLE RD
Practice Address - Street 2:DEPARTMENT OF PSYCHIATRY
Practice Address - City:UNION CITY
Practice Address - State:CA
Practice Address - Zip Code:94587-1507
Practice Address - Country:US
Practice Address - Phone:510-675-3306
Practice Address - Fax:510-675-4648
Is Sole Proprietor?:No
Enumeration Date:2006-12-14
Last Update Date:2022-01-03
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
CA17474103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical