Provider Demographics
NPI:1477879104
Name:NAPHEN, SHOREY ELIZABETH (M ED)
Entity Type:Individual
Prefix:MS
First Name:SHOREY
Middle Name:ELIZABETH
Last Name:NAPHEN
Suffix:
Gender:F
Credentials:M ED
Other - Prefix:
Other - First Name:SHOREY
Other - Middle Name:ELIZABETH
Other - Last Name:DOW
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:417 LIBERTY ST STE 2
Mailing Address - Street 2:
Mailing Address - City:SPRINGFIELD
Mailing Address - State:MA
Mailing Address - Zip Code:01104-3766
Mailing Address - Country:US
Mailing Address - Phone:413-654-7115
Mailing Address - Fax:
Practice Address - Street 1:417 LIBERTY ST STE 2
Practice Address - Street 2:
Practice Address - City:SPRINGFIELD
Practice Address - State:MA
Practice Address - Zip Code:01104-3766
Practice Address - Country:US
Practice Address - Phone:413-654-7115
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2010-04-20
Last Update Date:2022-08-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VT068.0134136101YM0800X
RIMHC01030101YM0800X
MA7793101YM0800X
NH2172101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health