Poppito, Shannon Rose

Poppito, Shannon Rose is an individual health care provider with primary practice located at 1500 Duarte Rd , Duarte CA 91010-3012. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Poppito, Shannon Rose can be contacted via phone (646) 853-4376.

Contact Information

Primary practice address
1500 Duarte Rd Duarte CA 91010-3012
Phone: (646) 853-4376
Fax: (626) 256-8798
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 103TC0700X PSY 23441 California

Profile Details

NPI number 1902125735
LBN Legal business name Poppito, Shannon Rose
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date May 18th, 2010
Last updated May 18th, 2010 - 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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