Shane Andrew Taylor
Individual provider Active NPI Counselor · Barre, MA
NPI 1851701528 · NPPES record last updated May 5, 2014
Key facts
- NPI
- 1851701528
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Counselor 101Y00000X
- Practice address
- 640 West St
Barre, MA 01005-9141 - Phone
- (508) 344-2747
- NPI assigned
- May 5, 2014
- Sex
- Male
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counselor | 101Y00000X | Yes |
Addresses
Primary practice location
640 West St
Barre, MA 01005-9141
Mailing address
640 West St
Barre, MA 01005-9141
Phone (508) 344-2747
Other providers in Barre, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 5, 2014. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.