Davidenko, Shannon J
Davidenko, Shannon J is an individual health care provider with primary practice located at 44 Bearfoot Rd Ste 300 , Northborough MA 01532-1559. She recently has only one registered license in Behavioral Health & Social Service Providers / Mental Health, which is considered as her primary health care specialty. Davidenko, Shannon J can be contacted via phone (781) 551-0999.Contact Information
Primary practice address
44 Bearfoot Rd Ste 300
Northborough MA 01532-1559
Phone: (781) 551-0999
Fax: (781) 551-3396
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Mental Health | 101YM0800X | 8189 | Massachusetts |
Profile Details
| NPI number | 1386892271 |
|---|---|
| LBN Legal business name | Davidenko, Shannon J |
| Credentials | LMHC |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 4th, 2008 |
| Last updated | Dec 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.
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