Bourne, Shadlyn C
Bourne, Shadlyn C is an sole proprietor health care provider with primary practice located at 9800 Shelard Pkwy Ste 325 , Plymouth MN 55441-6453. She recently has only one registered license in Behavioral Health & Social Service Providers / Mental Health, which is considered as her primary health care specialty. Bourne, Shadlyn C can be contacted via phone (763) 614-6393.Contact Information
Primary practice address
9800 Shelard Pkwy Ste 325
Plymouth MN 55441-6453
Phone: (763) 614-6393
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Mental Health | 101YM0800X |
Profile Details
| NPI number | 1710526637 |
|---|---|
| LBN Legal business name | Bourne, Shadlyn C |
| Credentials | LPCC |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Dec 23rd, 2019 |
| Last updated | Dec 23rd, 2019 - about 6 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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