Shawn Muthersbaugh Lcsw Pllc | |
120 Defreest Dr Ste 175 Troy NY 12180-7608 | |
(518) 390-6890 | |
(518) 326-0003 |
Full Name | Shawn Muthersbaugh Lcsw Pllc |
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Speciality | Community/behavioral Health |
Location | 120 Defreest Dr Ste 175, Troy, New York |
Authorized Official Name and Position | Shawn Harris Muthersbaugh (OWNER/SOLO PRIVATE PRACTITIONER) |
Authorized Official Contact | 5183906890 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Shawn Muthersbaugh Lcsw Pllc 120 Defreest Dr Ste 175 Troy NY 12180-7608 Ph: (518) 390-6890 | Shawn Muthersbaugh Lcsw Pllc 120 Defreest Dr Ste 175 Troy NY 12180-7608 Ph: (518) 390-6890 |
NPI Number | 1407462948 |
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Provider Enumeration Date | 09/21/2020 |
Last Update Date | 09/21/2020 |
Certification Date | 09/21/2020 |
Identifier | Type | State | Issuer |
---|---|---|---|
1407462948 | NPI | - | NPPES |
01645743 | Medicaid | NY |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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