Theodorou, Shawna Dee

Theodorou, Shawna Dee is an individual health care provider with primary practice located at 6302 Thirteeth Ave , Lucerne CA 95458. She recently has 2 registered licenses in different health care specialties including Other Service Providers / Case Manager/Care Coordinator, Behavioral Health & Social Service Providers / Behavior Technician. Behavioral Health & Social Service Providers / Behavior Technician is her primary health care specialty. Theodorou, Shawna Dee can be contacted via phone (707) 274-9101.

Contact Information

Primary practice address
6302 Thirteeth Ave Lucerne CA 95458
Phone: (707) 274-9101
Fax: (707) 274-9192
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Case Manager/Care Coordinator 171M00000X
Behavioral Health & Social Service Providers / Behavior Technician 106S00000X

Profile Details

NPI number 1619527512
LBN Legal business name Theodorou, Shawna Dee
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 13th, 2019
Last updated Sep 18th, 2019 - about 6 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.

Request for update

Popular Providers