Bader, Shannon Marie

Bader, Shannon Marie is an individual health care provider with primary practice located at 3102 E Highland Ave , Patton CA 92369-7813. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Bader, Shannon Marie can be contacted via phone (909) 425-7552.

Contact Information

Primary practice address
3102 E Highland Ave Patton CA 92369-7813
Phone: (909) 425-7552
Fax: (909) 425-6407
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 103TC0700X PSY 22905 California

Profile Details

NPI number 1316266281
LBN Legal business name Bader, Shannon Marie
Credentials PHD
Entity Individual
Sole proprietor 1 No
Enumeration date May 18th, 2010
Last updated May 18th, 2010 - about 14 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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