| Doctor Name: | SHANNON ELLIOTT |
| NPI Number: | 1063580884 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | LICSW |
| License Number: | 2027086 |
| Business Practice Address: | 200 Ter Heun Dr Falmouth, MA - 025402525 |
| Business Phone Number: | 5085406550 |
| Business Fax Number: | 5085407480 |
| Mailing Address: | 54 Dickson Dr, PLYMOUTH |
| State: | MA |
| Postal Code: | 023606831 |
| Phone Number: | 5087439510 |
| Fax Number: | |
| NPI Enumeration Date: | 12/01/2006 |
| NPI Last Update Date: | 05/27/2009 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YA0400X |
| License Number: | 2027086 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | MA |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Addiction (Substance Use Disorder) |
| Taxonomy Definition: | |