Provider Demographics
NPI:1134205446
Name:COLLERAN, CLAUDIA SHAVER (MA)
Entity type:Individual
Prefix:MRS
First Name:CLAUDIA
Middle Name:SHAVER
Last Name:COLLERAN
Suffix:
Gender:F
Credentials:MA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1 VETERANS DR
Mailing Address - Street 2:#137
Mailing Address - City:MINNEAPOLIS
Mailing Address - State:MN
Mailing Address - Zip Code:55417-2309
Mailing Address - Country:US
Mailing Address - Phone:612-467-3925
Mailing Address - Fax:612-970-5891
Practice Address - Street 1:1 VETERANS DR
Practice Address - Street 2:#137
Practice Address - City:MINNEAPOLIS
Practice Address - State:MN
Practice Address - Zip Code:55417-2309
Practice Address - Country:US
Practice Address - Phone:612-467-3925
Practice Address - Fax:612-970-5891
Is Sole Proprietor?:No
Enumeration Date:2006-10-29
Last Update Date:2007-07-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)