Kalback, Shawn R

Kalback, Shawn R is an individual health care provider with primary practice located at 149 North St , Waterville ME 04901-4974. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical Child & Adolescent, which is considered as her primary health care specialty. Kalback, Shawn R can be contacted via phone (207) 872-4303.

Contact Information

Primary practice address
149 North St Waterville ME 04901-4974
Phone: (207) 872-4303
Fax: (207) 872-4294
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical Child & Adolescent 103TC2200X 04354 Maryland
Behavioral Health & Social Service Providers / Clinical Child & Adolescent 103TC2200X PS1375 Maine

Profile Details

NPI number 1770602641
LBN Legal business name Kalback, Shawn R
Credentials PHD
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 29th, 2007
Last updated Jan 4th, 2016 - about 9 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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