O'Malley, Shereen M

O'Malley, Shereen M is an individual health care provider with primary practice located at 1875 Station Parkwaynw , Andover MN 55304-1719. She recently has only one registered license in Behavioral Health & Social Service Providers / Psychologist, which is considered as her primary health care specialty. O'Malley, Shereen M can be contacted via phone (763) 482-9598.

Contact Information

Primary practice address
1875 Station Parkwaynw Andover MN 55304-1719
Phone: (763) 482-9598
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Psychologist 103T00000X LP 4846 Minnesota

Profile Details

NPI number 1760439327
LBN Legal business name O'Malley, Shereen M
Credentials MA, LP
Entity Individual
Sole proprietor 1 No
Enumeration date May 28th, 2006
Last updated Aug 17th, 2018 - 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1760439327 NPPES
Minnesota Other 101760 UCARE
Minnesota MEDICAID 519252800 UCARE
Minnesota Other HP18900 UCARE
Minnesota Other 990991000633 UCARE
Minnesota Other 483P10M UCARE
Minnesota Other 62-02122 UCARE

Popular Providers