Custer, Shellby

Custer, Shellby is an individual health care provider with primary practice located at 1360 Eisenhower Blvd Ste 402, Johnstown PA 15904-3338. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Social Worker, Behavioral Health & Social Service Providers / Clinical. Behavioral Health & Social Service Providers / Clinical is her primary health care specialty. Custer, Shellby can be contacted via phone (814) 242-1125.

Contact Information

Primary practice address
1360 Eisenhower Blvd Ste 402 Johnstown PA 15904-3338
Phone: (814) 242-1125
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Social Worker 104100000X SW125419 Pennsylvania
Behavioral Health & Social Service Providers / Clinical 1041C0700X CW018289 Pennsylvania

Profile Details

NPI number 1720345986
LBN Legal business name Custer, Shellby
Credentials Licensed Clinical Social Worker (LCSW)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 12th, 2012
Last updated Apr 15th, 2024 - about 2 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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