Brodala, Shannon
Brodala, Shannon is an sole proprietor health care provider with primary practice located at 8253 W Thunderbird Rd #103, Peoria AZ 85381-4616. She recently has only one registered license in Behavioral Health & Social Service Providers / Mental Health, which is considered as her primary health care specialty. Brodala, Shannon can be contacted via phone (623) 826-0932.Contact Information
Primary practice address
8253 W Thunderbird Rd #103
Peoria AZ 85381-4616
Phone: (623) 826-0932
Fax: (623) 776-9921
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Mental Health | 101YM0800X | 1457349037 | Arizona |
Profile Details
| NPI number | 1154339109 |
|---|---|
| LBN Legal business name | Brodala, Shannon |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Aug 4th, 2006 |
| Last updated | Jul 8th, 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.
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