Individual
DR. SHANNON THEOBALD DEVOE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
12 OLD CHARLTON RD, OXFORD, MA 01540-1407
(508) 987-0256
Mailing address
12 OLD CHARLTON RD, OXFORD, MA 01540-1407
(508) 987-0256
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
2400
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
004155
VALUE OPTIONS
—
01
—
1011430
BEACON HEALTH STRATEGIES
—
01
—
11596600
MAGELLAN BEHAVIORAL HEALT
—
01
—
91531
CIGNA BEHAVIORAL HEALTH
—
01
—
EW03173
BLUE CROSS BLUE SHIELD
—
Enumeration date
12/05/2006
Last updated
07/08/2007
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