Provider Demographics
NPI:1710025903
Name:PIUS, SHAMMY MARY (MFT)
Entity Type:Individual
Prefix:MISS
First Name:SHAMMY
Middle Name:MARY
Last Name:PIUS
Suffix:
Gender:F
Credentials:MFT
Other - Prefix:MS
Other - First Name:SHAMMY
Other - Middle Name:MARY
Other - Last Name:DEVITO
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:MFT
Mailing Address - Street 1:2101 GEER RD
Mailing Address - Street 2:STE 102A
Mailing Address - City:TURLOCK
Mailing Address - State:CA
Mailing Address - Zip Code:95382-2454
Mailing Address - Country:US
Mailing Address - Phone:209-604-1881
Mailing Address - Fax:
Practice Address - Street 1:2101 GEER RD
Practice Address - Street 2:STE 102A
Practice Address - City:TURLOCK
Practice Address - State:CA
Practice Address - Zip Code:95382-2454
Practice Address - Country:US
Practice Address - Phone:209-604-1881
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-02-01
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAMFC38781101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health