Doctor Name: | SHANI MCCURRY |
NPI Number: | 1063438802 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | LCP |
License Number: | LCP 232 |
Business Practice Address: | 2537 Eisenhower Rd Ottawa, KS - 660679482 |
Business Phone Number: | 7852423780 |
Business Fax Number: | 7852426397 |
Mailing Address: | Po Box 677, OTTAWA |
State: | KS |
Postal Code: | 660670677 |
Phone Number: | 7852423780 |
Fax Number: | 7852426397 |
NPI Enumeration Date: | 07/14/2006 |
NPI Last Update Date: | 04/15/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YM0800X |
License Number: | LCP 232 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | KS |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Mental Health |
Taxonomy Definition: |