Provider Type Icon

MS. SHANNON DENEICE LEDESMA PH.D NPI 1578500328


NPI Information

NPI: 1578500328
Provider Name: MS. SHANNON DENEICE LEDESMA, PH.D
Classification: Psychologist - 103TH0004X
Entity Type: Individual

Specialization: Health

Address:
9040-A JACKSON AVE
TACOMA, WA
ZIP 98431
Phone: (253) 968-3517
Get Directions

MS. Shannon Deneice Ledesma, PH.D is a health psychologist in Tacoma, WA. The provider is a psychologist who specializes in clinical health psychology that investigates and implements clinical services across diverse populations and settings to promote health and well-being and to prevent, treat, and manage illness and disability. Clinical health psychology sees health as the confluence of psychological, social, cultural, and biological factors and applies this understanding to professional activities including:

  • MS. Shannon Deneice Ledesma, PH.D NPI is 1578500328. The provider is registered as an individual entity type.

    The NPPES NPI record indicates the provider is a female.

    The provider's business location address is:

    9040-A JACKSON AVE
    TACOMA, WA
    ZIP 98431-894
    Phone: (253) 968-3517

    The enumeration date for this NPI number is 6/1/2006 and was last updated on 6/28/2019.


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
1103TC0700XPsychologistClinicalPY00002517WASHINGTONNo
2103TH0004XPsychologistHealth2517WASHINGTONYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
17574JOOTHERWASHINGTONREGENCE

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

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.