Doctor Name: | ROSE M SHEEHAN |
NPI Number: | 1891079752 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | LADC |
License Number: | 000553 |
Business Practice Address: | 195 Industrial Parkway Lyndonville, VT - 05851 |
Business Phone Number: | 8027489501 |
Business Fax Number: | 8027483420 |
Mailing Address: | Po Box 905, ST JOHNSBURY |
State: | VT |
Postal Code: | 058190905 |
Phone Number: | 8027488141 |
Fax Number: | 8027484098 |
NPI Enumeration Date: | 10/10/2011 |
NPI Last Update Date: | 02/01/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101Y00000X |
License Number: | 000553 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | VT |
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 |