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Tim Shannon, PSYD
Psychologist in Normal, Illinois
NPI 1407956758

Tim Shannon is a Psychologist based in Normal, IL. Tim Shannon practices in Normal, IL and has the professional credentials of PSYD. The NPI Number for Tim Shannon is 1407956758 and holds a License No. 071004783 (Illinois).

The current practice location address for Tim Shannon is 405 Kays Dr Ste C, Normal, IL and can be reached out via phone at 309-664-3130 and via fax at 309-664-3528.

Location: 405 Kays Dr Ste C, Normal, IL, 61761-1979
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1407956758
Provider Name
Tim Shannon
Credential
PSYD
Provider Entity Type
Individual
Gender
Male
Address
405 Kays Dr Ste C, Normal, IL, 61761-1979
Phone Number
309-664-3130
Fax Number
309-664-3528
Provider Enumeration Date
09/25/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
IL2613 01 IL MEDICARE GROUP PTAN
DP5951 01 RR MEDICARE GROUP
P00820811 01 RR MEDICARE INDIVIDUAL
institution
Provider Business Practice Location Address Details
Address
405 Kays Dr Ste C
City
Normal
State
Illinois
Zip
61761-1979
Phone Number
309-664-3130
Fax Number
309-664-3528
person
Provider Business Mailing Address Details
Address
405 Kays Dr Ste C
City
Normal
State
Illinois
Zip
61761-1979
Phone Number
309-664-3130
Fax Number
309-664-3528
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Psychologist
Speciality
-
Taxonomy
103T00000X
License No.
071004783 (Illinois)
Definition
A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and procedures, for the purpose of preventing or eliminating symptomatic, maladaptive, or undesired behavior and of enhancing interpersonal relationships, work and life adjustment, personal effectiveness, behavioral health, and mental health. The practice of psychology includes, but is not limited to, psychological testing and the evaluation or assessment of personal characteristics, such as intelligence, personality, abilities, interests, aptitudes, and neuropsychological functioning; counseling, psychoanalysis, psychotherapy, hypnosis, biofeedback, and behavior analysis and therapy; diagnosis and treatment of mental and emotional disorder or disability, alcoholism and substance abuse, disorders of habit or conduct, as well as of the psychological aspects of physical illness, accident, injury, or disability; and psycheducational evaluation, therapy, remediation, and consultation. Psychological services may be rendered to individuals, families, groups and the public.
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