Channell, Shawn

Channell, Shawn is an sole proprietor health care provider with primary practice located at 76 Summer St Ste 115 , Fitchburg MA 01420-5705. He recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Clinical, Behavioral Health & Social Service Providers / Forensic. Behavioral Health & Social Service Providers / Forensic is his primary health care specialty. Channell, Shawn can be contacted via phone (978) 257-4958.

Contact Information

Primary practice address
76 Summer St Ste 115 Fitchburg MA 01420-5705
Phone: (978) 257-4958
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 103TC0700X 18566 California
Behavioral Health & Social Service Providers / Forensic 103TF0200X 9403 Massachusetts

Profile Details

NPI number 1184112948
LBN Legal business name Channell, Shawn
Credentials PH.D.
Entity Individual
Sole proprietor 1 Yes
Enumeration date Apr 27th, 2018
Last updated Apr 27th, 2018 - 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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