Individual
DR. SHAWN JOSEPH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
71 HAYNES ST, MANCHESTER, CT 06040-4131
(860) 533-3494
(860) 679-4326
Mailing address
71 HAYNES ST, MANCHESTER, CT 06040-4131
(860) 533-3494
(860) 647-6831
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
1.065001
CT
2084P0804X
Child & Adolescent Psychiatry Physician
Primary
1.065001
CT
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/31/2017
Last updated
10/11/2022
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