Rozycki, Shannon Leigh

Rozycki, Shannon Leigh is an sole proprietor health care provider with primary practice located at 318 Mahoning Ave Nw , Warren OH 44483-4605. She recently has only one registered license in Behavioral Health & Social Service Providers / Mental Health, which is considered as her primary health care specialty. Rozycki, Shannon Leigh can be contacted via phone (330) 395-9563.

Contact Information

Primary practice address
318 Mahoning Ave Nw Warren OH 44483-4605
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X E. 0003945 Ohio

Profile Details

NPI number 1578608683
LBN Legal business name Rozycki, Shannon Leigh
Credentials MSED, PCC
Entity Individual
Sole proprietor 1 Yes
Enumeration date Feb 20th, 2007
Last updated Aug 23rd, 2010 - about 14 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 1578608683 NPPES
Ohio Other 000000217911 ANTHEM

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