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Shannon Teah Hanzalik
Student in an Organized Health Care Education/Training Program in Fitchburg, Massachusetts
NPI 1689373797

Shannon Teah Hanzalik is a Student in an Organized Health Care Education/Training Program based in Revere, MA. Shannon Teah Hanzalik practices in Fitchburg, MA. The NPI Number for Shannon Teah Hanzalik is 1689373797 and holds a License No. (Massachusetts).

The current practice location address for Shannon Teah Hanzalik is 76 Summer St Ste 145A, Fitchburg, MA and can be reached out via phone at 978-309-1902.

Location: 76 Summer St Ste 145A, Fitchburg, MA, 02151-6135
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1689373797
Provider Name
Shannon Teah Hanzalik
Credential
Provider Entity Type
Individual
Gender
Female
Address
76 Summer St Ste 145A, Fitchburg, MA, 02151-6135
Phone Number
978-309-1902
Fax Number
Provider Enumeration Date
02/27/2023
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
76 Summer St Ste 145A
City
Fitchburg
State
Massachusetts
Zip
01420-0200
Phone Number
978-309-1902
Fax Number
person
Provider Business Mailing Address Details
Address
76 Summer St Ste 145A
City
Fitchburg
State
Massachusetts
Zip
01420-0200
Phone Number
978-309-1902
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
101YM0800X
License No.
()
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
()
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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