Owens, Shane Gregory

Owens, Shane Gregory is an sole proprietor health care provider with primary practice located at 283 Commack Rd Suite Ll 2, Commack NY 11725-6021. He recently has 3 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Psychologist, Behavioral Health & Social Service Providers / Cognitive & Behavioral, Behavioral Health & Social Service Providers / Clinical. Behavioral Health & Social Service Providers / Psychologist is his primary health care specialty. Owens, Shane Gregory can be contacted via phone (631) 462-5554.

Contact Information

Primary practice address
283 Commack Rd Suite Ll 2 Commack NY 11725-6021
Phone: (631) 462-5554
Fax: (631) 420-2089
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Psychologist 103T00000X 015938 New York
Behavioral Health & Social Service Providers / Cognitive & Behavioral 103TB0200X 015938 New York
Behavioral Health & Social Service Providers / Clinical 103TC0700X 015938 New York

Profile Details

NPI number 1477691384
LBN Legal business name Owens, Shane Gregory
Credentials PH.D.
Entity Individual
Sole proprietor 1 Yes
Enumeration date Feb 2nd, 2007
Last updated Jul 8th, 2007 - about 17 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 1477691384 NPPES
New York Other VM5471 NSLIJ EMPIRE BCBS
New York Other 9383228 NSLIJ EMPIRE BCBS
New York Other 028279 NSLIJ EMPIRE BCBS

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