Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. SHANNON MAURA TASSAVA, PHD
Active Sole ProprietorDR. SHANNON MAURA TASSAVA, PHD is a Clinical Psychologist healthcare provider located in NORTHFIELD, Minnesota. NPI 1881241586 is currently active in the NPPES registry. Verify at CMS.
Clinical Psychologist · NORTHFIELD, MN
Registration Details
- NPI Number
- 1881241586
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Aug 19, 2019 (6.945174519198 yrs)
- Last Updated
- Aug 19, 2019
- License
-
LP4343 (MN)
- Sole Proprietor
- Yes
Practice Information
- Address
-
1716 SUNSET DRNORTHFIELD, MN, 550573237Browse MN providers · Browse ZIP 55057
- Phone
- 5075814702
- Primary Specialty
-
Clinical Psychologist
103TC0700X
Other Clinical Psychologist Providers in NORTHFIELD, MN
| Name | Credential | NPI |
|---|---|---|
| DR. WILLIAM ROBERT HOEKSTRA | PSYD LP | 1578527289 |
| JERILYN MARIE WIEDERHOLT | PSYCHOLOGIST | 1962691501 |
| DR. KENNETH BRIAN ABRAMS | PH.D., LP | 1487211264 |
| DR. ANDREW CHARLES WEIS | PHD | 1386251148 |
| DR. DONNA MCMILLAN | PH.D., L.P. | 1811750672 |
| TAYLOR NASH | PSYD | 1467347229 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.