Page, Shawn M.
Page, Shawn M. is an individual health care provider with primary practice located at 545 Westminster St , Fitchburg MA 01420-4727. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Behavioral Health & Social Service Providers / Mental Health. Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) is her primary health care specialty. Page, Shawn M. can be contacted via phone (978) 345-0685.Contact Information
Primary practice address
545 Westminster St
Fitchburg MA 01420-4727
Phone: (978) 345-0685
Fax: (978) 342-8495
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) | 101YA0400X | 2072 | Massachusetts |
| Behavioral Health & Social Service Providers / Mental Health | 101YM0800X | 4932 | Massachusetts |
Profile Details
| NPI number | 1841319266 |
|---|---|
| LBN Legal business name | Page, Shawn M. |
| Credentials | M.S., LMHC, LADCI |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 28th, 2007 |
| Last updated | Jul 8th, 2007 - about 18 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1841319266 | NPPES |
| Massachusetts | Other | 2072 | BUREAU SUB. ABUSE |
| Massachusetts | Other | 4932 | BUREAU SUB. ABUSE |
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