Barsema, Shannon Marie

Barsema, Shannon Marie is an individual health care provider with primary practice located at 430 Morton Plant St Suite 402, Clearwater FL 33756-3398. She recently has 3 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Adult Development & Aging, Behavioral Health & Social Service Providers / Clinical, Behavioral Health & Social Service Providers / Clinical Neuropsychologist. Behavioral Health & Social Service Providers / Clinical Neuropsychologist is her primary health care specialty. Barsema, Shannon Marie can be contacted via phone (727) 461-8635.

Contact Information

Primary practice address
430 Morton Plant St Suite 402 Clearwater FL 33756-3398
Phone: (727) 461-8635
Fax: (727) 333-6038
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Adult Development & Aging 103TA0700X PY 9339 Florida
Behavioral Health & Social Service Providers / Clinical 103TC0700X PY 9339 Florida
Behavioral Health & Social Service Providers / Clinical Neuropsychologist 103G00000X PY 9339 Florida

Profile Details

NPI number 1104180280
LBN Legal business name Barsema, Shannon Marie
Credentials PHD
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 3rd, 2012
Last updated Mar 3rd, 2022 - about 2 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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Identifiers

StateTypeNumberIssuer
All States NPI 1104180280 NPPES
Florida Other P01713937 RAILROAD MEDICARE PROVIDER NUMBER
Florida MEDICAID 023608600 RAILROAD MEDICARE PROVIDER NUMBER

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