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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

SHANNON M FAHEY

Active

SHANNON M FAHEY is a Day Training/Habilitation healthcare provider located in EGG HARBOR, Wisconsin. NPI 1497592075 is currently active in the NPPES registry. Verify at CMS.

Day Training/Habilitation · EGG HARBOR, WI

Registration Details

NPI Number
1497592075
Provider Type
Individual
Gender
Female
NPI Issued
Jul 11, 2024 (1.9129057573384 yrs)
Last Updated
Jul 11, 2024

Practice Information

Address
4976 PLUM BOTTOM RD
EGG HARBOR, WI, 542099147
Browse WI providers · Browse ZIP 54209
Phone
9204183330
Primary Specialty
Day Training/Habilitation
373H00000X
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.