Kairis, Shirley Ann

Kairis, Shirley Ann is an sole proprietor health care provider with primary practice located at 17 Cedar St , Dedham MA 02026-3221. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Kairis, Shirley Ann can be contacted via phone (617) 838-6542.

Contact Information

Primary practice address
17 Cedar St Dedham MA 02026-3221
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X 113158 Massachusetts

Profile Details

NPI number 1275699654
LBN Legal business name Kairis, Shirley Ann
Credentials LICSW
Entity Individual
Sole proprietor 1 Yes
Enumeration date Dec 29th, 2006
Last updated Jul 14th, 2008 - about 16 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 1275699654 NPPES
Massachusetts MEDICAID 1854691

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