Provider Demographics
NPI:1235304817
Name:DENNY, SHANNON NICOLE (MFT-UNLICENSED)
Entity Type:Individual
Prefix:MISS
First Name:SHANNON
Middle Name:NICOLE
Last Name:DENNY
Suffix:
Gender:F
Credentials:MFT-UNLICENSED
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4-1579 KUHIO HWY
Mailing Address - Street 2:
Mailing Address - City:KAPAA
Mailing Address - State:HI
Mailing Address - Zip Code:96746-1859
Mailing Address - Country:US
Mailing Address - Phone:808-212-4970
Mailing Address - Fax:
Practice Address - Street 1:4-1579 KUHIO HWY
Practice Address - Street 2:
Practice Address - City:KAPAA
Practice Address - State:HI
Practice Address - Zip Code:96746-1859
Practice Address - Country:US
Practice Address - Phone:808-212-4970
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2008-04-24
Last Update Date:2008-04-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist