Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
SUSAN L SHEA
Active Sole ProprietorSUSAN L SHEA is a Professional Counselor healthcare provider located in BLOOMFIELD, Missouri. NPI 1073039715 is currently active in the NPPES registry. Verify at CMS.
Professional Counselor · BLOOMFIELD, MO
Registration Details
- NPI Number
- 1073039715
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Aug 15, 2017 (8.9888417030569 yrs)
- Last Updated
- Jul 21, 2022
- License
-
000667 (MO)
- Sole Proprietor
- Yes
Practice Information
- Address
-
402 BARBARA STREETBLOOMFIELD, MO, 63825Browse MO providers · Browse ZIP 63825
- Phone
- 5738952204
- Primary Specialty
-
Professional Counselor
101YP2500X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.