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Individual

DR. SHAYNA S BASSETT

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
PH.D.

Contact information

Practice address
55 FRUIT ST, BOSTON, MA 02114-2696
(617) 724-2480
Mailing address
55 FRUIT ST, BOSTON, MA 02114-2696
(617) 724-2480

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
101YM0800X
Mental Health Counselor
103TA0400X
Addiction (Substance Use Disorder) Psychologist
PS01757
RI
103TC0700X
Clinical Psychologist
Primary
PS01757
RI

Other

Enumeration date
06/01/2011
Last updated
05/03/2021
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