Individual
SHANNON KAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PH.D., BCBA-D
Contact information
Practice address
50 WASON AVE, 1ST FL, SPRINGFIELD, MA 01199-1619
(413) 794-4160
(413) 794-4884
Mailing address
280 CHESTNUT ST, 2ND FLOOR, SPRINGFIELD, MA 01199-1619
(413) 794-5700
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
9164
MA
Other
Enumeration date
10/23/2012
Last updated
02/21/2015
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