Organization Name: | SHANNON L. AYOTTE STAUFFER, L.C.S.W., L.L.C. |
NPI Number: | 1083636997 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | SHANNON L. AYOTTE STAUFFER (OWNER) |
Mailing Address: | 720 Hopmeadow St Suite 3 Simsbury |
State: | CT US |
Postal Code: | 060702224 |
Phone Number: | 8606513489 |
Fax Number: | 8606513489 |
NPI Enumeration Date: | 07/24/2006 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 1041C0700X |
License Number: | 006144 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | CT |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Social Worker |
Taxonomy Specialization: | Clinical |
Taxonomy Definition: | A social worker who holds a master |