Provider Demographics
NPI:1053808246
Name:CONE, SHANNON PAUL (PHD)
Entity type:Individual
Prefix:DR
First Name:SHANNON
Middle Name:PAUL
Last Name:CONE
Suffix:
Gender:M
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:44 PEACHTREE PL NW UNIT 924
Mailing Address - Street 2:
Mailing Address - City:ATLANTA
Mailing Address - State:GA
Mailing Address - Zip Code:30309-5410
Mailing Address - Country:US
Mailing Address - Phone:404-610-3346
Mailing Address - Fax:
Practice Address - Street 1:44 PEACHTREE PL NW UNIT 924
Practice Address - Street 2:
Practice Address - City:ATLANTA
Practice Address - State:GA
Practice Address - Zip Code:30309-5410
Practice Address - Country:US
Practice Address - Phone:404-610-3346
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-04-13
Last Update Date:2024-05-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLSS1866103TS0200X
GALPC006389101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
No103TS0200XBehavioral Health & Social Service ProvidersPsychologistSchool