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Dr. Shannon Clark, MD
Behavioral Neurology & Neuropsychiatry Physician in Sacramento, California
NPI 1295922912

Shannon Clark is a Behavioral Neurology & Neuropsychiatry Physician based in Sacramento, CA and is specialized in Behavioral Neurology & Neuropsychiatry. Shannon Clark practices in Sacramento, CA and has the professional credentials of MD. The NPI Number for Shannon Clark is 1295922912 and holds a License No. A103021 (California).

The current practice location address for Shannon Clark is 4860 Y St, Sacramento, CA and can be reached out via phone at 916-734-8445 and via fax at 916-734-6666. You can also correspond with Shannon Clark through the mailing address at 4860 Y ST, SACRAMENTO, CA - 95817-2307 (mailing address contact number: 916-734-8445).

Location: 4860 Y St, Sacramento, CA, 95817-2307
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1295922912
Provider Name
Shannon Clark
Credential
MD
Provider Entity Type
Individual
Gender
Female
Address
4860 Y St, Sacramento, CA, 95817-2307
Phone Number
916-734-8445
Fax Number
916-734-6666
Provider Enumeration Date
09/26/2007
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
00000 01 CA MEDICAL
institution
Provider Business Practice Location Address Details
Address
4860 Y St
City
Sacramento
State
California
Zip
95817-2307
Phone Number
916-734-8445
Fax Number
916-734-6666
person
Provider Business Mailing Address Details
Address
4860 Y St
City
Sacramento
State
California
Zip
95817-2307
Phone Number
916-734-8445
Fax Number
916-734-6666
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Family Medicine
Speciality
-
Taxonomy
207Q00000X
License No.
A103121 (California)
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
person
Provider's Taxonomy Details 2
Type
Allopathic & Osteopathic Physicians
Classification
Obstetrics & Gynecology
Speciality
Obstetrics
Taxonomy
207VX0000X
License No.
A103021 (California)
Definition
Definition to come...
person
Provider's Taxonomy Details 3
Type
Allopathic & Osteopathic Physicians
Classification
Psychiatry & Neurology
Speciality
Behavioral Neurology & Neuropsychiatry
Taxonomy
2084B0040X
License No.
A103021 (California)
Definition
Behavioral Neurology & Neuropsychiatry is a medical subspecialty involving the diagnosis and treatment of neurologically based behavioral issues.
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