Shine, Katina Lynniece

Shine, Katina Lynniece is an individual health care provider with primary practice located at 1061 Harmon Ave. Ste 1D03 Winn Army Community Hospital, Ft. Stewart GA 31314-5674. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Shine, Katina Lynniece can be contacted via phone (912) 435-7016.

Contact Information

Primary practice address
1061 Harmon Ave. Ste 1D03 Winn Army Community Hospital Ft. Stewart GA 31314-5674
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 103TC0700X 2003023867 Missouri

Profile Details

NPI number 1104875038
LBN Legal business name Shine, Katina Lynniece
Credentials PH.D.
Entity Individual
Sole proprietor 1 No
Enumeration date May 8th, 2006
Last updated Sep 28th, 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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