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Contact Information

SHANNON D LEDESMA, PhD
9040 JACKSON AVE
TACOMA, WA98431-1894
 Phone: 253-968-5125
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Health

103TH0004X 62 Psychologist, Clinical
 

Clinical

103TC0700X 62 Psychologist, Clinical
Indicates primary specialty

NPI Profile & details for SHANNON D LEDESMA · (Female)

NPI Number 1578500328
Status Active
Credentials PhD
Entity Individual
Enumeration date 06/01/2006
Last updated 06/10/2024 - More than a year ago
Sole proprietor 1 No
Identifiers
  • WA License # 2517
  • WA License # PY00002517
  • WA Other 7574JO REGENCE
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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