Provider Information for 1750626420
The following NPI(s) contain information matching your search criteria. Please select the NPI to view all the data associated with the NPI.
Please Note: Issuance of an NPI does not ensure or validate that the Health Care Provider is Licensed or Credentialed. For more information please refer to NPI: What You Need to Know
Mrs. SHANNON ANN GAISER LPC, NCC, CAC
Sex: Female
NPI: 1750626420
Last Updated: 2012-12-06
Certification Date:
Certification Date:
Details
| Name | Value | ||||||||
|---|---|---|---|---|---|---|---|---|---|
| NPI | 1750626420 | ||||||||
| Enumeration Date | 2012-12-06 | ||||||||
| NPI Type | NPI-1 Individual | ||||||||
| Sole Proprietor | YES | ||||||||
| Status | Active | ||||||||
| Mailing Address | 555 FALLECKER RD BUTLER, PA 16002-0027 United States Phone: 724-256-6829 | Fax: | ||||||||
| Primary Practice Address | 20399 ROUTE 19 BRANDT DR, ONE LANDMARK NORTH CRANBERRY TWP, PA 16066-6134 United States Phone: 724-816-0373 | Fax: | ||||||||
| Secondary Practice Address(es) | |||||||||
| Health Information Exchange |
| ||||||||
| Other Identifiers |
| ||||||||
| Taxonomy |
|