BENJAMIN SHANNON

COLUMBUS, OH
NPI1184346181
Former NameBENJAMIN LOUIS SHANNON
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy103T00000X Psychologist
(Licence: OH  SM594493)
Enumeration Date2022-09-15
Last Update Date2022-09-15
Business Address
BENJAMIN SHANNON BA, EXP
3261 COLONY VISTA LN
COLUMBUS, OH 43204-2157
Phone number: 614-859-9584
Mailing Address
BENJAMIN SHANNON BA, EXP
3261 COLONY VISTA LN
COLUMBUS, OH 43204-2157
Phone number: