Provider Demographics
NPI:1770955742
Name:SHREWSBURG, DELORA (LMHC)
Entity type:Individual
Prefix:MRS
First Name:DELORA
Middle Name:
Last Name:SHREWSBURG
Suffix:
Gender:F
Credentials:LMHC
Other - Prefix:MS
Other - First Name:DELORA
Other - Middle Name:
Other - Last Name:MCCLANAHAN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:PO BOX 14
Mailing Address - Street 2:
Mailing Address - City:ANGOLA
Mailing Address - State:IN
Mailing Address - Zip Code:46703-0098
Mailing Address - Country:US
Mailing Address - Phone:260-243-3353
Mailing Address - Fax:260-666-9787
Practice Address - Street 1:603 N WAYNE ST
Practice Address - Street 2:
Practice Address - City:ANGOLA
Practice Address - State:IN
Practice Address - Zip Code:46703-1081
Practice Address - Country:US
Practice Address - Phone:260-233-0780
Practice Address - Fax:260-665-1620
Is Sole Proprietor?:Yes
Enumeration Date:2015-10-29
Last Update Date:2022-03-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN39002782A101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health