Shannon Mcdermott Panetta in Clinton Township - Clinical

Shannon Mcdermott Panetta - NPI 1992985816

Shannon Mcdermott Panetta is a Clinical in Clinton Township, Michigan. Shannon Mcdermott Panetta practices all healthcare services and medical treatments related to Clinical. The NPI Number for Shannon Mcdermott Panetta is 1992985816. The last update date is 2007-11-08.

Shannon Mcdermott Panetta's current location address is 36975 Utica Road, Clinton Township, Michigan. You can contact this provider via phone number 5862263440 and fax number 5862263672. The mailing address for Shannon Mcdermott Panetta is 36975 Utica Road, Clinton Township, Michigan. To know further, please read the information below!

Provider Profile Detail

Provider Name Shannon Mcdermott Panetta
Address 36975 Utica Road, Clinton Township, Michigan
Phone Number 5862263440
Fax Number 5862263672
Sole Proprietor N
Credentials PHD LLP

NPI Number Detail

NPI Number 1992985816
Provider Enumeration Date 2007-11-08
Last Updated Date 2007-11-08

Provider Mailing Address Detail

Address 36975 Utica Road
City Clinton Township
State Michigan (MI)
Post Code 48036
Phone Number 5862263440
Fax Number 5862263672

Provider's Primary Taxonomy Detail

Speciality Clinical
Taxonomy 103Tc0700X
Licence No 6301012851
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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FAQs about Shannon Mcdermott Panetta

What is the unique identification code assigned to Shannon Mcdermott Panetta by the Centers for Medicare & Medicaid Services?

The Shannon Mcdermott Panetta has been issued the NPI (National Provider Identifier) 1992985816. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).

Could you please share the complete physical address where Shannon Mcdermott Panetta is geographically located?

The Shannon Mcdermott Panetta is physically situated at the following location: 36975 Utica Road, Clinton Township, MI, 48036.

What is the Shannon Mcdermott Panetta's area of specialization and corresponding taxonomy classification?

The Shannon Mcdermott Panetta's specialty field is Clinical, and it falls under the taxonomy code 103Tc0700X, which categorizes healthcare providers based on their specialties.

On what date did the Centers for Medicare & Medicaid Services issue the 1992985816 to Shannon Mcdermott Panetta?

The Shannon Mcdermott Panetta received its 1992985816 assignment from the Centers for Medicare & Medicaid Services on 2007-11-08.

As of what date was the information pertaining to Shannon Mcdermott Panetta, such as address, specialty, and other details, last reviewed and confirmed to be accurate?

The information related to Shannon Mcdermott Panetta, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2007-11-08.

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