Shannan McNamara, ED. S
Individual provider Active NPI School Psychologist · Village of Lakewood, IL
NPI 1235640996 · NPPES record last updated Oct 20, 2017
Key facts
- NPI
- 1235640996
- Entity type
- Individual (NPI type 1)
- Primary specialty
- School Psychologist 103TS0200X
- Practice address
- 8001 Redtail Dr
Village of Lakewood, IL 60014-3354 - Phone
- (847) 707-1176
- NPI assigned
- Oct 20, 2017
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| School Psychologist | 103TS0200X | Yes |
Addresses
Primary practice location
8001 Redtail Dr
Village of Lakewood, IL 60014-3354
Mailing address
8001 Redtail Dr
Village of Lakewood, IL 60014-3354
Other providers in Village of Lakewood, IL
- Susan Lynn Kapustka
- Leix Dental PC
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- Victoria Grace Maurice
- Ashleigh Mauro
- Mindful Growth Psychological Services LLC
- Rachel Mitchell
- Brittany Marie Parisot-Sebby
- Kelsey Wodka Pryll
- Village of Lakewood
All providers in Village of Lakewood, IL · School Psychologist in Illinois
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 20, 2017. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.