Doctor Name: | MARIE SHIELDS-PFANNENSTIEL |
NPI Number: | 1295778249 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | LMLP,LCMFT,LCP |
License Number: | 0130 |
Business Practice Address: | 2001 Claflin Rd Manhattan, KS - 665023415 |
Business Phone Number: | 7855874300 |
Business Fax Number: | 7855874321 |
Mailing Address: | 423 Houston Street, Po Box 747 MANHATTAN |
State: | KS |
Postal Code: | 665050747 |
Phone Number: | 7855874300 |
Fax Number: | 7855874321 |
NPI Enumeration Date: | 06/14/2006 |
NPI Last Update Date: | 11/07/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101Y00000X |
License Number: | 0130 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | KS |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | |
Taxonomy Definition: | A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master |