Deets, Shannon Len

Deets, Shannon Len is an individual health care provider with primary practice located at 18278 Technology Dr , Meadville PA 16335-8380. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Mental Health, Behavioral Health & Social Service Providers / Psychologist. Behavioral Health & Social Service Providers / Psychologist is her primary health care specialty. Deets, Shannon Len can be contacted via phone (814) 807-0487.

Contact Information

Primary practice address
18278 Technology Dr Meadville PA 16335-8380
Phone: (814) 807-0487
Fax: (888) 538-2885
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X PC004908 Pennsylvania
Behavioral Health & Social Service Providers / Psychologist 103T00000X PS018703 Pennsylvania

Profile Details

NPI number 1912153289
LBN Legal business name Deets, Shannon Len
Credentials PHD
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 18th, 2008
Last updated May 20th, 2022 - about 2 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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Identifiers

StateTypeNumberIssuer
All States NPI 1912153289 NPPES
Pennsylvania MEDICAID 1024531890002

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