Shanesha Nicole Sorensen in Stockton - Clinical
Shanesha Nicole Sorensen - NPI 1760688808
Shanesha Nicole Sorensen is a Clinical in Stockton, California. Shanesha Nicole Sorensen practices all healthcare services and medical treatments related to Clinical. The NPI Number for Shanesha Nicole Sorensen is 1760688808. The last update date is 2023-03-10.
Shanesha Nicole Sorensen's current location address is 7707 Austin Rd, Stockton, California. You can contact this provider via phone number 2094674445. The mailing address for Shanesha Nicole Sorensen is 7707 Austin Rd, Stockton, California. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Shanesha Nicole Sorensen |
|---|---|
| Address | 7707 Austin Rd, Stockton, California |
| Phone Number | 2094674445 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | PH.D. |
NPI Number Detail
| NPI Number | 1760688808 |
|---|---|
| Provider Enumeration Date | 2007-06-25 |
| Last Updated Date | 2023-03-10 |
Provider Mailing Address Detail
| Address | 7707 Austin Rd |
|---|---|
| City | Stockton |
| State | California (CA) |
| Post Code | 952158312 |
| Phone Number | 2094674445 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 103Tc0700X |
| Licence No | PSY28611 |
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Definition: A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in |
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What is the unique identifier code issued to Shanesha Nicole Sorensen by the Centers for Medicare & Medicaid Services?
The Shanesha Nicole Sorensen has been assigned the NPI (National Provider Identifier) 1760688808. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Can you provide the Shanesha Nicole Sorensen's physical address?
The Shanesha Nicole Sorensen is physically located at 7707 Austin Rd, in the city of Stockton, CA, with the postal code 952158312.
What is the Shanesha Nicole Sorensen's specialty and taxonomy code?
The Shanesha Nicole Sorensen's specialty is Clinical, and the corresponding taxonomy code is 103Tc0700X.
On what date did the Shanesha Nicole Sorensen receive the assignment of its 1760688808 from the Centers for Medicare & Medicaid Services?
The Shanesha Nicole Sorensen was issued its 1760688808 by the Centers for Medicare & Medicaid Services on 2007-06-25.
As of what date were the Shanesha Nicole Sorensen's details last updated?
The information pertaining to the Shanesha Nicole Sorensen, including its address, specialty, and other details, was most recently updated on 2023-03-10.
NPI Number: 1356344279
Address: Mount St. Mary's Hospital Laboratory, Lewiston, NY