Active NPIIndividual provider

Dr. Shannon M Dalley, PSYD

Psychologist, Clinical in Tigard, Oregon

NPI Number1447840301
Practice location
15935 SW 146TH Ave, Tigard, OR 97224-1380
Fax
—
Last updated
October 29, 2024

Shannon Marie Dalley is a Psychologist, Clinical based in Tigard, OR. Shannon Marie Dalley practices in Tigard, OR and has the professional credentials of PSYD. The NPI Number for Shannon Marie Dalley is 1447840301 and holds a License No. PY61053793 (WA). The current practice location address for Shannon Marie Dalley is 15935 SW 146TH Ave, Tigard, OR 97224-1380 and can be reached out via phone at 360-602-2563.

Provider Profile Details

NPI Number
1447840301
Provider Name
Shannon Marie Dalley
Credential
PSYD
Provider Entity Type
Individual
Gender
Female
Address
15935 SW 146TH Ave, Tigard, OR 97224-1380
Phone Number
360-602-2563
Primary Taxonomy
Psychologist, Clinical · 103TC0700X
Sole Proprietor
No
Provider Enumeration Date
January 24, 2021
Last Update Date
October 29, 2024
Certification Date
October 29, 2024
NPI Status
Active

Provider Business Practice Location Address Details

Address
15935 SW 146TH Ave
Tigard, OR 97224-1380
City
Tigard
State
Oregon
Zip
97224-1380
Phone Number
360-602-2563
Tigard, OR 97224Get directions →

Provider Business Mailing Address Details

Address
15935 SW 146TH Ave
Tigard, OR 97224-1380
City
Tigard
State
OR
Zip
97224-1380
Phone Number
978-996-9521

License Information

License Number (1)
PY61053793
License State (1)
WA
Taxonomy (1)
Psychologist, Clinical · 103TC0700X
License Number (2)
3620
License State (2)
OR
Taxonomy (2)
Psychologist, Clinical · 103TC0700X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Dr. Shannon M Dalley, PSYD?

The NPI number of Dr. Shannon M Dalley, PSYD is 1447840301. It was assigned on January 24, 2021 and is currently active in the NPPES registry.

What is the specialty of Dr. Shannon M Dalley, PSYD?

Dr. Shannon M Dalley, PSYD is registered under the primary taxonomy Psychologist, Clinical (code 103TC0700X), licensed in WA under license number PY61053793.

Where does Dr. Shannon M Dalley, PSYD practice?

The practice location is 15935 SW 146TH Ave, Tigard, OR 97224-1380. The office can be reached at 360-602-2563 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1447840301 directly on the NPPES registry website.

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