SHANNON LEE DIGIOVANNI
NPI 1700492774
Clinic/Center - Mental Health (Including Community Mental Health Center) in Edmond, OK
Active since September 16, 2020
About Shannon Lee Digiovanni NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
SHANNON LEE DIGIOVANNI (NPI 1700492774) is an individual mental health (including community mental health center) provider in Edmond, Oklahoma and active in the NPI registry since September 2020.
NPPES Registry Identity
NPI1700492774
Entity TypeIndividualFemale
Primary Taxonomy261QM0801X
Provider Legal NameSHANNON LEE DIGIOVANNI
Location Address13707 FAIRHILL AVEEdmond, OK 73013-1946
Mailing Address13707 Fairhill AveEdmond, OK 73013-1946 · (405) 607-4041
Phone(405) 607-4041
Sole ProprietorYes
Enumeration DateSeptember 16, 2020
NPPES CertifiedSeptember 16, 2020
✔ NPI 1700492774 is a valid, active identifier and passes the ISO check-digit test.
Specialties & Licenses
★ Primary SpecialtyClinic/Center · Mental Health (Including Community Mental Health Center)Ambulatory Health Care Facilities
Taxonomy Code261QM0801X
13707 FAIRHILL AVE, Edmond, OK 73013
Other Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1700492774, enumerated as an "individual" on September 16, 2020.
The provider is located at 13707 FAIRHILL AVE EDMOND, OK 73013 and the phone number is (405) 607-4041.
Clinic/Center with taxonomy code 261QM0801X and a focus in Mental Health (Including Community Mental Health Center).
