Provider Demographics
NPI:1154300986
Name:BARRETT, SHANNON K (MS)
Entity Type:Individual
Prefix:
First Name:SHANNON
Middle Name:K
Last Name:BARRETT
Suffix:
Gender:F
Credentials:MS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:339 E 6TH ST
Mailing Address - Street 2:APT 14
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10003-8411
Mailing Address - Country:US
Mailing Address - Phone:212-673-4344
Mailing Address - Fax:212-673-6944
Practice Address - Street 1:339 E 6TH ST
Practice Address - Street 2:APT 14
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10003-8411
Practice Address - Country:US
Practice Address - Phone:212-673-4344
Practice Address - Fax:212-673-6944
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-01-11
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes170300000XOther Service ProvidersGenetic Counselor, MS