Kinsella-Shaw, Mary
Kinsella-Shaw, Mary is an sole proprietor health care provider with primary practice located at 189 Storrs Rd , Mansfield Center CT 06250-1683. She recently has only one registered license in Behavioral Health & Social Service Providers / Professional, which is considered as her primary health care specialty. Kinsella-Shaw, Mary can be contacted via phone (860) 456-1311.Contact Information
Primary practice address
189 Storrs Rd
Mansfield Center CT 06250-1683
Phone: (860) 456-1311
Fax: (860) 456-0164
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Professional | 101YP2500X | 000168 | Connecticut |
Profile Details
| NPI number | 1639409360 |
|---|---|
| LBN Legal business name | Kinsella-Shaw, Mary |
| Credentials | MA, LPC |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Dec 31st, 2009 |
| Last updated | Dec 31st, 2009 - about 15 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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