| Ms Shannon Sorosiak, | |
|
28090 Lemoyne Rd, Millbury, OH 43447-9747 | |
| (419) 661-3000 | |
| Not Available |
| Full Name | Ms Shannon Sorosiak |
|---|---|
| Gender | Female |
| Speciality | Psychologist - School |
| Location | 28090 Lemoyne Rd, Millbury, Ohio |
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1417869017 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TS0200X | Psychologist - School | LSP.01298 (Ohio) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Ms Shannon Sorosiak, 28090 Lemoyne Rd, Millbury, OH 43447-9747 Ph: (419) 661-3000 | Ms Shannon Sorosiak, 28090 Lemoyne Rd, Millbury, OH 43447-9747 Ph: (419) 661-3000 |
Emma Ryan Fetterman, Psychologist Medicare: Not Enrolled in Medicare Practice Location: 28150 Lemoyne Rd, Millbury, OH 43447 Phone: 419-661-6520 |
Mr. Mathew David Butler, ED.S. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 28080 Lemoyne Rd, Millbury, OH 43447 Phone: 419-661-6540 |