National Provider Identifier
Shelly C Dillenburg
Shelly C Dillenburg is listed in the NPPES registry with a primary specialty of Peer Specialist in Fredonia, NY and a listed phone number of (716) 785-6335.
Profile Overview
- NPI
- 1083233415
- Provider Type
- Individual
- Primary Specialty
- Peer Specialist
- Enumeration Date
- April 15, 2020
- Last Updated
- April 15, 2020
Practice Location
- 33 Church St Ste 3
- Fredonia, NY 14063-1761
Phone: (716) 785-6335
Specialties
- Peer Specialist (175T00000X)
Endpoints
- SDillenburg@Bestselfwny.org
Direct Messaging Address | Fredonia, NY 14063
Full Record
- NPI
- 1083233415
- Entity Type
- Individual
- Last Name
- Dillenburg
- First Name
- Shelly
- Middle Name
- C
- Name Prefix
- Mrs.
- Mailing Street Address
- 33 Church St Ste 3
- Mailing City
- Fredonia
- Mailing State
- NY
- Mailing ZIP Code
- 14063-1761
- Mailing Country
- US
- Mailing Phone
- (716) 785-6335
- Mailing Fax
- (716) 785-6138
- Practice Street Address
- 33 Church St Ste 3
- Practice City
- Fredonia
- Practice State
- NY
- Practice ZIP Code
- 14063-1761
- Practice Country
- US
- Practice Phone
- (716) 785-6335
- Enumeration Date
- April 15, 2020
- Last Updated
- April 15, 2020
- Sex
- Female
- Sole Proprietor
- No
- Certification Date
- April 15, 2020
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Peer Specialist (175T00000X)