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SHANNON KERSEY LPA NPI 1164708228


NPI Information

NPI: 1164708228
Provider Name: SHANNON KERSEY, LPA
Classification: Psychologist - 103TC2200X
Entity Type: Organization

Specialization: Clinical Child & Adolescent

Address:
4425 RANDOLPH RD
SUITE 208
CHARLOTTE, NC
ZIP 28211
Phone: (704) 323-6586
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SHANNON KERSEY, LPA is a clinical child and adolescent psychologist in Charlotte, NC. The provider is a psychologist who develops and applies scientific knowledge to the delivery of psychological services to infants, toddlers, children and adolescents within their social context. Of particular importance to the specialty of clinical child psychology is an understanding of the basic psychological needs of children and adolescents, and how the family and other social contexts influence the socio-emotional adjustment, cognitive development, behavioral adaptation and health status of children and adolescents. SHANNON KERSEY, LPA NPI is 1164708228. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

4425 RANDOLPH RD
SUITE 208
CHARLOTTE, NC
ZIP 28211-351
Phone: (704) 323-6586

The provider's authorized official is Shannon Kersey .
The authorized official title is Sole Proprietor and has the following contact phone number (704) 323-6586.

The enumeration date for this NPI number is 11/2/2011 and was last updated on 11/2/2011.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1103TC2200XPsychologistClinical Child & Adolescent2531NORTH CAROLINAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

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