Shannon Aardema, M.ED., ED.S.
Individual provider Active NPI School Psychologist · Valparaiso, IN
NPI 1902497522 · NPPES record last updated Jan 27, 2021
Key facts
- NPI
- 1902497522
- Entity type
- Individual (NPI type 1)
- Primary specialty
- School Psychologist 103TS0200X
- License
- 1600334 (IN)
- Practice address
- 750 Ransom Rd
Valparaiso, IN 46385-8973 - Phone
- (219) 464-9607
- Fax
- (219) 548-8064
- NPI assigned
- Jan 27, 2021
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Master of Education
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1600334 | IN | MD | School Psychologist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| School Psychologist | 103TS0200X | 1600334 | IN | Yes |
Addresses
Primary practice location
750 Ransom Rd
Valparaiso, IN 46385-8973
Mailing address
750 Ransom Rd
Valparaiso, IN 46385-8973
Phone (219) 464-9607
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All providers in Valparaiso, IN · School Psychologist in Indiana
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 27, 2021. 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.