Shearer, Sandra Lee
Shearer, Sandra Lee is an sole proprietor health care provider with primary practice located at 7362 University Ave Ne Suite 209, Fridley MN 55432-3142. She recently has only one registered license in Behavioral Health & Social Service Providers / Psychologist, which is considered as her primary health care specialty. Shearer, Sandra Lee can be contacted via phone (651) 747-7862.Contact Information
Primary practice address
7362 University Ave Ne Suite 209
Fridley MN 55432-3142
Phone: (651) 747-7862
Fax: (763) 571-4231
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Psychologist | 103T00000X | LP2425 | Minnesota |
Profile Details
| NPI number | 1689772998 |
|---|---|
| LBN Legal business name | Shearer, Sandra Lee |
| Credentials | MSW, LP |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Sep 20th, 2006 |
| Last updated | Jun 24th, 2010 - about 16 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 | 1689772998 | NPPES |
| Minnesota | MEDICAID | 287748100 |
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