Brisbin-Shepler, Laurel
Brisbin-Shepler, Laurel is an individual health care provider with primary practice located at 4347 Portage St Nw Suite 103, North Canton OH 44720-7371. She recently has 6 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Psychologist, Behavioral Health & Social Service Providers / Cognitive & Behavioral, Behavioral Health & Social Service Providers / Clinical, Behavioral Health & Social Service Providers / Counseling, Behavioral Health & Social Service Providers / Clinical Child & Adolescent, Behavioral Health & Social Service Providers / Family. Behavioral Health & Social Service Providers / Psychologist is her primary health care specialty. Brisbin-Shepler, Laurel can be contacted via phone (330) 945-7100.Contact Information
Primary practice address
4347 Portage St Nw Suite 103
North Canton OH 44720-7371
Phone: (330) 945-7100
Fax: (330) 945-4305
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Psychologist | 103T00000X | 4599 | Ohio |
| Behavioral Health & Social Service Providers / Cognitive & Behavioral | 103TB0200X | 4599 | Ohio |
| Behavioral Health & Social Service Providers / Clinical | 103TC0700X | 4599 | Ohio |
| Behavioral Health & Social Service Providers / Counseling | 103TC1900X | 4599 | Ohio |
| Behavioral Health & Social Service Providers / Clinical Child & Adolescent | 103TC2200X | 4599 | Ohio |
| Behavioral Health & Social Service Providers / Family | 103TF0000X | 4599 | Ohio |
Profile Details
| NPI number | 1669536314 |
|---|---|
| LBN Legal business name | Brisbin-Shepler, Laurel |
| Credentials | PH.D. |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Dec 20th, 2006 |
| Last updated | Jul 9th, 2007 - about 17 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1669536314 | NPPES |
| Ohio | MEDICAID | 10024 | |
| Ohio | MEDICAID | 10034 |
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