Shaughnessy, Julia Rose

Shaughnessy, Julia Rose is an individual health care provider with primary practice located at 2727 N Grandview Blvd Ste 205 , Waukesha WI 53188-1671. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Marriage & Family Therapist, Student, Health Care / Student in an Organized Health Care Education/Training Program. Behavioral Health & Social Service Providers / Marriage & Family Therapist is her primary health care specialty. Shaughnessy, Julia Rose can be contacted via phone (262) 547-5567.

Contact Information

Primary practice address
2727 N Grandview Blvd Ste 205 Waukesha WI 53188-1671
Phone: (262) 547-5567
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Marriage & Family Therapist 106H00000X 171430 Wisconsin
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X
Behavioral Health & Social Service Providers / Marriage & Family Therapist 106H00000X 2053-124 Wisconsin

Profile Details

NPI number 1033688478
LBN Legal business name Shaughnessy, Julia Rose
Credentials LMFT
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 14th, 2018
Last updated Jun 21st, 2023 - about 3 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 1033688478 NPPES
Wisconsin MEDICAID 39-0806174

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