National Provider Identifier
Shawn Shannon-Missal, LCAT-P
Shawn Shannon-Missal, LCAT-P is listed in the NPPES registry with a primary specialty of Art Therapist in Pittsford, NY and a listed phone number of (585) 314-2978.
Profile Overview
- NPI
- 1396119871
- Provider Type
- Individual
- Primary Specialty
- Art Therapist
- Enumeration Date
- November 19, 2015
- Last Updated
- August 08, 2024
Practice Location
- 1169 Pittsford Victor RD Ste 250
- Pittsford, NY 14534-3809
Phone: (585) 314-2978
Mailing Address
- 112 Nettlecreek RD
- Fairport, NY 14450-3056
Specialties
- Art Therapist (221700000X)
Full Record
- NPI
- 1396119871
- Entity Type
- Individual
- Last Name
- Shannon-Missal
- First Name
- Shawn
- Credential
- LCAT-P
- Mailing Street Address
- 112 Nettlecreek RD
- Mailing City
- Fairport
- Mailing State
- NY
- Mailing ZIP Code
- 14450-3056
- Mailing Country
- US
- Mailing Phone
- (585) 314-2978
- Practice Street Address
- 1169 Pittsford Victor RD Ste 250
- Practice City
- Pittsford
- Practice State
- NY
- Practice ZIP Code
- 14534-3809
- Practice Country
- US
- Practice Phone
- (585) 314-2978
- Enumeration Date
- November 19, 2015
- Last Updated
- August 08, 2024
- Sex
- Female
- Sole Proprietor
- Yes
- Certification Date
- August 08, 2024
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Art Therapist (221700000X)