Provider Demographics
NPI:1912531278
Name:OQUINN, JAMEY SHELAGHLEY
Entity Type:Individual
Prefix:MS
First Name:JAMEY
Middle Name:SHELAGHLEY
Last Name:OQUINN
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 1:54 LYNDALE ST
Mailing Address - Street 2:
Mailing Address - City:SPRINGFIELD
Mailing Address - State:MA
Mailing Address - Zip Code:01108-2468
Mailing Address - Country:US
Mailing Address - Phone:413-356-8716
Mailing Address - Fax:
Practice Address - Street 1:54 LYNDALE ST
Practice Address - Street 2:
Practice Address - City:SPRINGFIELD
Practice Address - State:MA
Practice Address - Zip Code:01108-2468
Practice Address - Country:US
Practice Address - Phone:413-356-8716
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-02-26
Last Update Date:2022-12-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior Technician