Dubach, Shannon

Dubach, Shannon is an sole proprietor health care provider with primary practice located at 2041 Bancroft Way Ste 307 , Berkeley CA 94704-1406. She recently has 3 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Adult Development & Aging, Behavioral Health & Social Service Providers / Clinical Child & Adolescent, Behavioral Health & Social Service Providers / Clinical. Behavioral Health & Social Service Providers / Clinical is her primary health care specialty. Dubach, Shannon can be contacted via phone (510) 686-3773.

Contact Information

Primary practice address
2041 Bancroft Way Ste 307 Berkeley CA 94704-1406
Phone: (510) 686-3773
Fax: (510) 649-1133
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Adult Development & Aging 103TA0700X PSY24793 California
Behavioral Health & Social Service Providers / Clinical Child & Adolescent 103TC2200X PSY24793 California
Behavioral Health & Social Service Providers / Clinical 103TC0700X PSY24793 California

Profile Details

NPI number 1992967996
LBN Legal business name Dubach, Shannon
Credentials PSYD
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 30th, 2008
Last updated Jan 28th, 2019 - 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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