Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Shannon O'Donnell, LP

Individual provider Clinical Psychologist · NPI 1053483453

Shannon O'Donnell, LP is a Clinical Psychologist in Saint Paul, Minnesota. Qualified in 1998, 28 years ago. Practices with Ksa Psychological Services LLC, a 3-clinician group and accepts Medicare assignment. Licensed in Minnesota.

Years since qualifying
28
Licensed in
MN
In the registry since
2006
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Practice location Address checks out

2550 University Ave W Ste 314N
Saint Paul, MN 55114-1052
Phone: (651) 645-5323
Fax: (651) 647-5135
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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 LP4436 (MN)

Record details

NPI number1053483453
Entity typeIndividual (Type 1)
GenderFemale
Credentials LP
Sole proprietorNo
NPI enumeratedNovember 14, 2006
Last updated in NPPESJuly 8, 2007

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCLINICAL PSYCHOLOGIST
Medical schoolOTHER
Graduated 1998 (28 years in practice)
Group practice Ksa Psychological Services Llc — 3 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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