National Provider Identifier
Shannyn Botsford
Shannyn Botsford is listed in the NPPES registry with a primary specialty of Counselor in Batavia, NY and a listed phone number of (585) 815-0247.
Profile Overview
- NPI
- 1184017410
- Provider Type
- Individual
- Primary Specialty
- Counselor
- Enumeration Date
- March 11, 2015
- Last Updated
- November 03, 2022
Practice Location
- 314 Ellicott St
- Batavia, NY 14020-3650
Phone: (585) 815-0247
Mailing Address
- 55 Dodge RD
- Getzville, NY 14068-1205
Specialties
- Counselor (101Y00000X)
Full Record
- NPI
- 1184017410
- Entity Type
- Individual
- Last Name
- Botsford
- First Name
- Shannyn
- Provider Other Last Name
- Ralph
- Provider Other First Name
- Shannyn
- Provider Other Last Name Type Code
- 1
- Mailing Street Address
- 55 Dodge RD
- Mailing City
- Getzville
- Mailing State
- NY
- Mailing ZIP Code
- 14068-1205
- Mailing Country
- US
- Mailing Phone
- (716) 831-2700
- Practice Street Address
- 314 Ellicott St
- Practice City
- Batavia
- Practice State
- NY
- Practice ZIP Code
- 14020-3650
- Practice Country
- US
- Practice Phone
- (585) 815-0247
- Enumeration Date
- March 11, 2015
- Last Updated
- November 03, 2022
- Sex
- Female
- Sole Proprietor
- No
- Certification Date
- November 03, 2022
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Counselor (101Y00000X)