Tassava, Shannon Maura
Tassava, Shannon Maura is an sole proprietor health care provider with primary practice located at 1716 Sunset Dr , Northfield MN 55057-3237. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Tassava, Shannon Maura can be contacted via phone (507) 581-4702.Contact Information
Primary practice address
1716 Sunset Dr
Northfield MN 55057-3237
Phone: (507) 581-4702
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 103TC0700X | LP4343 | Minnesota |
Profile Details
| NPI number | 1881241586 |
|---|---|
| LBN Legal business name | Tassava, Shannon Maura |
| Credentials | PHD |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Aug 19th, 2019 |
| Last updated | Aug 19th, 2019 - about 5 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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