Michelle Shupp in Hagerstown - Addiction (substance Use Disorder)
Michelle Shupp - NPI 1245394642
Michelle Shupp is a Addiction (substance Use Disorder) in Hagerstown, Maryland. Michelle Shupp practices all healthcare services and medical treatments related to Addiction (substance Use Disorder). The NPI Number for Michelle Shupp is 1245394642. The last update date is 2013-08-02.
Michelle Shupp's current location address is 13114 Pennsylvania Ave, Hagerstown, Maryland. You can contact this provider via phone number 2403133329. The mailing address for Michelle Shupp is 13114 Pennsylvania Ave, Hagerstown, Maryland. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Michelle Shupp |
|---|---|
| Address | 13114 Pennsylvania Ave, Hagerstown, Maryland |
| Phone Number | 2403133329 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | BSW,CSCAD |
NPI Number Detail
| NPI Number | 1245394642 |
|---|---|
| Provider Enumeration Date | 2006-12-20 |
| Last Updated Date | 2013-08-02 |
Provider Mailing Address Detail
| Address | 13114 Pennsylvania Ave |
|---|---|
| City | Hagerstown |
| State | Maryland (MD) |
| Post Code | 217422741 |
| Phone Number | 2403133329 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Addiction (substance Use Disorder) |
|---|---|
| Taxonomy | 101Ya0400X |
| Licence No | SC1885 |
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Definition: A counselor who helps people with alcohol, drug, gambling, internet, and other types of addictions. |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 705371101 | MD | -- |
Post Comment/ Review Below
What is the unique identifier code issued to Michelle Shupp by the Centers for Medicare & Medicaid Services (CMS)?
The Michelle Shupp has been assigned the NPI (National Provider Identifier) 1245394642. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Can you provide the Michelle Shupp's physical address?
The Michelle Shupp is physically located at 13114 Pennsylvania Ave, in the city of Hagerstown, MD, with the postal code 217422741.
What is the Michelle Shupp's specialty and taxonomy code?
The Michelle Shupp's specialty is Addiction (substance Use Disorder), and the corresponding taxonomy code is 101Ya0400X.
On what date did the Michelle Shupp receive the assignment of its 1245394642 from the Centers for Medicare & Medicaid Services?
The Michelle Shupp was issued its 1245394642 by the Centers for Medicare & Medicaid Services on 2006-12-20.
When was the Michelle Shupp's information last updated?
The Michelle Shupp's information was last updated on 2013-08-02.