Provider Demographics
NPI:1578752358
Name:PAZIENZA, SHAWNEEN ROSINA
Entity Type:Individual
Prefix:
First Name:SHAWNEEN
Middle Name:ROSINA
Last Name:PAZIENZA
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:303 N OAKLAND AVE APT 10
Mailing Address - Street 2:
Mailing Address - City:PASADENA
Mailing Address - State:CA
Mailing Address - Zip Code:91101-1646
Mailing Address - Country:US
Mailing Address - Phone:714-595-5759
Mailing Address - Fax:626-577-8978
Practice Address - Street 1:303 N OAKLAND AVE APT 10
Practice Address - Street 2:
Practice Address - City:PASADENA
Practice Address - State:CA
Practice Address - Zip Code:91101-1646
Practice Address - Country:US
Practice Address - Phone:714-595-5759
Practice Address - Fax:626-577-8978
Is Sole Proprietor?:No
Enumeration Date:2007-10-17
Last Update Date:2008-05-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health