Eddy Kissell, Shawna Eddy

Eddy Kissell, Shawna Eddy is an sole proprietor health care provider with primary practice located at 541 W 3Rd St , Weiser ID 83672-1813. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Psychologist, Behavioral Health & Social Service Providers / Mental Health. Behavioral Health & Social Service Providers / Mental Health is her primary health care specialty. Eddy Kissell, Shawna Eddy can be contacted via phone (208) 549-0995.

Contact Information

Primary practice address
541 W 3Rd St Weiser ID 83672-1813
Phone: (208) 549-0995
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Psychologist 103T00000X PS007800L Pennsylvania
Behavioral Health & Social Service Providers / Psychologist 103T00000X 5061 Oregon
Behavioral Health & Social Service Providers / Mental Health 101YM0800X LCPC Idaho

Profile Details

NPI number 1780209288
LBN Legal business name Eddy Kissell, Shawna Eddy
Credentials PSYCHOLOGIST, LCPC
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 10th, 2020
Last updated Jun 10th, 2020 - 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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