Provider Demographics
NPI:1669740320
Name:SHREWSBERRY, MARIANNE (LMHC)
Entity type:Individual
Prefix:MS
First Name:MARIANNE
Middle Name:
Last Name:SHREWSBERRY
Suffix:
Gender:F
Credentials:LMHC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3 ESSEX GREEN DR
Mailing Address - Street 2:SUITE 5R
Mailing Address - City:PEABODY
Mailing Address - State:MA
Mailing Address - Zip Code:01960-2927
Mailing Address - Country:US
Mailing Address - Phone:978-578-8496
Mailing Address - Fax:978-278-3340
Practice Address - Street 1:3 ESSEX GREEN DR
Practice Address - Street 2:SUITE 5R
Practice Address - City:PEABODY
Practice Address - State:MA
Practice Address - Zip Code:01960-2927
Practice Address - Country:US
Practice Address - Phone:978-578-8496
Practice Address - Fax:978-278-3340
Is Sole Proprietor?:Yes
Enumeration Date:2011-12-09
Last Update Date:2011-12-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA7802101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health