Doctor Name: | ANN MARIE SHAY |
NPI Number: | 1538409149 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | MA, LPC |
License Number: | 6401013153 |
Business Practice Address: | 204 Meadows Dr Grayling, MI - 497382013 |
Business Phone Number: | 9893443009 |
Business Fax Number: | |
Mailing Address: | 5969 Laird Lake Rd, HALE |
State: | MI |
Postal Code: | 487399166 |
Phone Number: | 9897282364 |
Fax Number: | |
NPI Enumeration Date: | 02/19/2013 |
NPI Last Update Date: | 11/12/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YP2500X |
License Number: | 6401013153 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MI |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Professional |
Taxonomy Definition: |