Weisz, Shannon Paul

Weisz, Shannon Paul is an individual health care provider with primary practice located at 309 N Mandan St Suite #1, Bismarck ND 58501-3886. He recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Psychologist, Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder). Behavioral Health & Social Service Providers / Psychologist is his primary health care specialty. Weisz, Shannon Paul can be contacted via phone (701) 323-0924.

Contact Information

Primary practice address
309 N Mandan St Suite #1 Bismarck ND 58501-3886
Phone: (701) 323-0924
Fax: (701) 323-0935
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Psychologist 103T00000X 470 North Dakota
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X 1549 North Dakota

Profile Details

NPI number 1730254418
LBN Legal business name Weisz, Shannon Paul
Credentials PSYD, LAC
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 21st, 2006
Last updated Jul 22nd, 2014 - about 10 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 1730254418 NPPES
North Dakota MEDICAID 17326

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