Shanda Aurora Caniquie
Individual provider Active NPI Counselor · Bridgewater, MA
NPI 1982245833 · NPPES record last updated Oct 2, 2019
Key facts
- NPI
- 1982245833
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Counselor 101Y00000X
- Practice address
- 21 Burrill Ave
Bridgewater, MA 02325-0001 - Phone
- (224) 210-0063
- NPI assigned
- Oct 2, 2019
- Sex
- Female
- 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
21 Burrill Ave
Bridgewater, MA 02325-0001
Mailing address
45 School St
Bridgewater, MA 02325-1219
Phone (224) 210-0063
Other providers in Bridgewater, MA
- Krisztina Bukur-Doczy
- Michael Burke
- Joshua David Cabral
- Alexandya Cairns
- Cynthia J Calderon
- Richard Arthur Cannizzo Jr.
- Alexa Cappione
- Carecentral Urgent Care Medical Group PC
- Kayla Cartwright
- Rachelle Carveiro
All providers in Bridgewater, MA · Counselor in Massachusetts
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 2, 2019. 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.