Provider Demographics
NPI:1245883487
Name:POST, SHANNON
Entity type:Individual
Prefix:
First Name:SHANNON
Middle Name:
Last Name:POST
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 1:126A CENTRAL ST
Mailing Address - Street 2:
Mailing Address - City:HUDSON
Mailing Address - State:NH
Mailing Address - Zip Code:03051-4609
Mailing Address - Country:US
Mailing Address - Phone:978-606-1572
Mailing Address - Fax:
Practice Address - Street 1:126A CENTRAL ST
Practice Address - Street 2:
Practice Address - City:HUDSON
Practice Address - State:NH
Practice Address - Zip Code:03051-4609
Practice Address - Country:US
Practice Address - Phone:978-606-1572
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-07-17
Last Update Date:2020-07-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior Technician