Shannon Hagan
Shannon Hagan is a Clinical Psychologist in Berkeley, California. Qualified in 2014, 12 years ago. Practices as a sole proprietor and accepts Medicare assignment. Licensed in California.
- Years since qualifying
- 12
- Licensed in
- CA
- In the registry since
- 2015
Practice location Address checks out
2397 Shattuck Ave Ste 206Berkeley, CA 94704-1567
Phone: (415) 967-0421
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Clinical Psychologist (primary) | Taxonomy 103TC0700X · Licence PSY27814 (CA) |
|---|
Record details
| NPI number | 1306219456 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | Yes |
| NPI enumerated | November 10, 2015 |
| Last updated in NPPES | November 10, 2015 |
| Mailing address | 4161 23rd St, San Francisco, CA 94114-3219 |
Medicare enrollment
| Medicare specialty | CLINICAL PSYCHOLOGIST |
|---|---|
| Medical school | OTHER |
| Graduated | 2014 (12 years in practice) |
| Accepts Medicare assignment | Yes — accepts the Medicare-approved amount |
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