Cook, Shannon Moniece
Cook, Shannon Moniece is an sole proprietor health care provider with primary practice located at 34921 Us Highway 19 N Ste 200 , Palm Harbor FL 34684. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Cook, Shannon Moniece can be contacted via phone (727) 255-3736.Contact Information
Primary practice address
34921 Us Highway 19 N Ste 200
Palm Harbor FL 34684
Phone: (727) 255-3736
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 103TC0700X | PY7486 | Florida |
| Behavioral Health & Social Service Providers / Clinical | 103TC0700X | PY 7486 | Florida |
Profile Details
| NPI number | 1316098528 |
|---|---|
| LBN Legal business name | Cook, Shannon Moniece |
| Credentials | PH.D. |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jan 15th, 2007 |
| Last updated | May 17th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1316098528 | NPPES |
| Other | 59424 | BCBSFL |
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