Ms Shawna Eddy Eddy Kissell, PSYCHOLOGIST, LCPC is a
Counselor - Mental Health based in Weiser, Idaho. Ms Shawna Eddy Eddy Kissell is licensed to practice in Idaho (license number LCPC) and her current practice location is
541 W 3rd St, Weiser, Idaho. She can be reached at her office (for appointments etc.) via phone at
(208) 549-0995.
NPI number for Ms Shawna Eddy Eddy Kissell is 1780209288 and her current mailing address is 541 W 3rd St, Weiser, Idaho. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1780209288.
Healthcare Provider's Profile
| Full Name | Ms Shawna Eddy Eddy Kissell |
|---|
| Gender | Female |
|---|
| Speciality | Counselor - Mental Health |
|---|
| Location | 541 W 3rd St, Weiser, Idaho |
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
|---|
NPI Data:
- NPI Number: 1780209288
- Provider Enumeration Date: 06/10/2020
- Last Update Date: 06/10/2020
Medical Identifiers
Medical identifiers for Ms Shawna Eddy Eddy Kissell such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1780209288 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 103T00000X | Psychologist | PS007800L (Pennsylvania) | Secondary |
| 103T00000X | Psychologist | 5061 (Oregon) | Secondary |
| 101YM0800X | Counselor - Mental Health | LCPC (Idaho) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Ms Shawna Eddy Eddy Kissell is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Ms Shawna Eddy Eddy Kissell, PSYCHOLOGIST, LCPC
541 W 3rd St,
Weiser, ID 83672-1813
Ph: (208) 549-0995 | Ms Shawna Eddy Eddy Kissell, PSYCHOLOGIST, LCPC
541 W 3rd St,
Weiser, ID 83672-1813
Ph: (208) 549-0995 |
Reviews and Comments