Walsh, Shannon Mae

Walsh, Shannon Mae is an individual health care provider with primary practice located at 2001 Marcus Ave Ste E128 , New Hyde Park NY 11042-1000. She recently has only one registered license in Behavioral Health & Social Service Providers / Cognitive & Behavioral, which is considered as her primary health care specialty. Walsh, Shannon Mae can be contacted via phone (516) 390-3525.

Contact Information

Primary practice address
2001 Marcus Ave Ste E128 New Hyde Park NY 11042-1000
Phone: (516) 390-3525
Fax: (516) 396-2195
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Cognitive & Behavioral 103TB0200X 025427 New York

Profile Details

NPI number 1508578071
LBN Legal business name Walsh, Shannon Mae
Credentials PSYD
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 15th, 2022
Last updated Dec 15th, 2022 - about 4 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 1508578071 NPPES
New York Other 025427 PSYCHOLOGY LICENSE

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