| Shawn Muthersbaugh LCSW PLLC | |
|
120 Defreest Dr Ste 175 Troy NY 12180-7608 | |
| (518) 390-6890 | |
| (518) 326-0003 |
| Full Name | Shawn Muthersbaugh LCSW PLLC |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 120 Defreest Dr Ste 175, Troy, New York |
| Authorized Official Name and Position | Shawn Harris Muthersbaugh (OWNER/SOLO PRIVATE PRACTITIONER) |
| Authorized Official Contact | 5183906890 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Shawn Muthersbaugh LCSW PLLC 120 Defreest Dr Ste 175 Troy NY 12180-7608 Ph: (518) 390-6890 | Shawn Muthersbaugh LCSW PLLC 120 Defreest Dr Ste 175 Troy NY 12180-7608 Ph: (518) 390-6890 |
| NPI Number | 1407462948 |
|---|---|
| Provider Enumeration Date | 09/21/2020 |
| Last Update Date | 09/21/2020 |
| Certification Date | 09/21/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1407462948 | NPI | - | NPPES |
| 01645743 | Medicaid | NY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (NU) | Primary |
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