Hagan, Shannon
Hagan, Shannon is an sole proprietor health care provider with primary practice located at 2397 Shattuck Ave Suite 206, Berkeley CA 94704-1567. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Hagan, Shannon can be contacted via phone (415) 967-0421.Contact Information
Primary practice address
2397 Shattuck Ave Suite 206
Berkeley CA 94704-1567
Phone: (415) 967-0421
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 103TC0700X | PSY27814 | California |
Profile Details
| NPI number | 1306219456 |
|---|---|
| LBN Legal business name | Hagan, Shannon |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Nov 10th, 2015 |
| Last updated | Nov 10th, 2015 - about 11 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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