Provider Demographics
NPI:1710123500
Name:ADVANI, SHEILA K (MA EDD)
Entity Type:Individual
Prefix:DR
First Name:SHEILA
Middle Name:K
Last Name:ADVANI
Suffix:
Gender:F
Credentials:MA EDD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:18 FRANKLIN RD
Mailing Address - Street 2:
Mailing Address - City:SHARON
Mailing Address - State:MA
Mailing Address - Zip Code:02067-2206
Mailing Address - Country:US
Mailing Address - Phone:781-784-6146
Mailing Address - Fax:
Practice Address - Street 1:18 FRANKLIN RD
Practice Address - Street 2:
Practice Address - City:SHARON
Practice Address - State:MA
Practice Address - Zip Code:02067-2206
Practice Address - Country:US
Practice Address - Phone:781-784-6146
Practice Address - Fax:781-784-6146
Is Sole Proprietor?:Yes
Enumeration Date:2008-12-28
Last Update Date:2008-12-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA1377101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health