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DR. SHANNON BURTON PECK PHD
NPI 1902963929
Psychologist - Clinical in Shreveport, LA

Active since January 02, 2007
510 E STONER AVE, SHREVEPORT, LA 71101(318) 990-4957 Get Directions Write a Review

NPPES record last updated: August 2, 2013. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Shannon Burton Peck Phd NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. SHANNON BURTON PECK PHD (NPI 1902963929) is an individual clinical provider in Shreveport, Louisiana, licensed in Texas (32882) and active in the NPI registry since January 2007.

NPPES Registry Identity

NPI1902963929
Entity TypeIndividualFemale
Primary Taxonomy103TC0700X
Provider Legal NameDR. SHANNON BURTON PECKCredential: PHD
Location Address510 E STONER AVEShreveport, LA 71101-4243
Mailing Address510 E Stoner AveShreveport, LA 71101-4243 · (318) 990-4957
Phone(318) 990-4957
Sole ProprietorNo
Enumeration DateJanuary 2, 2007
Last NPPES UpdateAugust 2, 2013
✔ NPI 1902963929 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychologist · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code103TC0700X
License✔ Licensed in TX · 32882
Definition
A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of disciplines within and outside of psychology proper. The scope of clinical psychology encompasses all ages, multiple diversities and varied systems.
510 E STONER AVE, Shreveport, LA 71101
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Other Identifiers 3

Medicare ID-Type Unspecified8D9676TX
Medicaid177186701TX
Medicare UPINQ51705TX

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include HMO Louisiana.Insurance ›

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.

IGNATIUS NNADIOTU
Pharmacist
510 E STONER AVE
SHREVEPORT, LA 71101
Caddo Parish (318) 221-8411
DR. DARLENE ROQUE COOK
Pharmacist
510 E STONER AVE
SHREVEPORT, LA 71101
Caddo Parish (318) 990-5228
NANCY DUGGAN RN
Registered Nurse
510 E STONER AVE
SHREVEPORT, LA 71101
Caddo Parish (318) 221-8411
MICHAEL SCHROEDER
Counselor (Professional)
510 E STONER AVE
SHREVEPORT, LA 71101
Caddo Parish (318) 221-8411
KARL REICHTER LICSW
Social Worker (Clinical)
510 E STONER AVE
SHREVEPORT, LA 71101
Caddo Parish (319) 990-4401
SANJAY JAIN
Internal Medicine
510 E STONER AVE, PRIMARY CARE (110)
SHREVEPORT, LA 71101
Caddo Parish (318) 221-8411
DR. SRINIVAS POTTURI M.D.,
Radiology (Diagnostic Radiology)
510 E STONER AVE
SHREVEPORT, LA 71101
Caddo Parish (318) 221-8411
MRS. KELLY ANN WALLS LPN
Licensed Practical Nurse
510 E STONER AVE
SHREVEPORT, LA 71101
Caddo Parish (318) 221-8411

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Shannon Peck's NPI number?

The NPI number for Shannon Peck is 1902963929. It was assigned to this individual provider in the NPPES registry on January 2, 2007.

Where is Shannon Peck located?

Shannon Peck practices at 510 E Stoner Ave, Shreveport, LA 71101. The listed phone number is (318) 990-4957.

What is Shannon Peck's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Clinical, with taxonomy code 103TC0700X.

What insurance does Shannon Peck accept?

Health plans from HMO Louisiana list Shannon Peck as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Shannon Peck was last updated on August 2, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.