Groenewold, Shay L

Groenewold, Shay L is an sole proprietor health care provider with primary practice located at 440 S Melrose Dr Ste 250 , Vista CA 92081-6672. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Mental Health, Behavioral Health & Social Service Providers / Clinical. Behavioral Health & Social Service Providers / Clinical is her primary health care specialty. Groenewold, Shay L can be contacted via phone (760) 392-1965.

Contact Information

Primary practice address
440 S Melrose Dr Ste 250 Vista CA 92081-6672
Phone: (760) 392-1965
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X
Behavioral Health & Social Service Providers / Clinical 103TC0700X PSY32538 California

Profile Details

NPI number 1013201433
LBN Legal business name Groenewold, Shay L
Credentials PH.D.
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 2nd, 2011
Last updated May 5th, 2021 - about 4 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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