| Doctor Name: | MS. SHANNON J MCNAMARA |
| NPI Number: | 1215263322 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | LICSW |
| License Number: | 115394 |
| Business Practice Address: | 30 Boston Post Rd Wayland, MA - 017782400 |
| Business Phone Number: | 6177977462 |
| Business Fax Number: | |
| Mailing Address: | 30 Boston Post Rd, WAYLAND |
| State: | MA |
| Postal Code: | 017782400 |
| Phone Number: | 6177977462 |
| Fax Number: | |
| NPI Enumeration Date: | 10/23/2009 |
| NPI Last Update Date: | 10/23/2009 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 1041C0700X |
| License Number: | 115394 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | MA |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Social Worker |
| Taxonomy Specialization: | Clinical |
| Taxonomy Definition: | A social worker who holds a master |