Shannon, Robin

Shannon, Robin is an individual health care provider with primary practice located at 877 South St Ste 200 , Pittsfield MA 01201. She recently has only one registered license in Behavioral Health & Social Service Providers / Mental Health, which is considered as her primary health care specialty. Shannon, Robin can be contacted via phone (413) 236-5656.

Contact Information

Primary practice address
877 South St Ste 200 Pittsfield MA 01201
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X

Profile Details

NPI number 1427599224
LBN Legal business name Shannon, Robin
Credentials BS
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 13th, 2017
Last updated Feb 25th, 2019 - about 7 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 1427599224 NPPES
New Hampshire MEDICAID 1427599224

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