Provider Demographics
NPI:1235470352
Name:SINGER, SHAWNA MARIE (MS, MFT)
Entity type:Individual
Prefix:MS
First Name:SHAWNA
Middle Name:MARIE
Last Name:SINGER
Suffix:
Gender:F
Credentials:MS, MFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3390 PEACHTREE RD NE
Mailing Address - Street 2:#1102
Mailing Address - City:ATLANTA
Mailing Address - State:GA
Mailing Address - Zip Code:30326-1157
Mailing Address - Country:US
Mailing Address - Phone:404-467-8203
Mailing Address - Fax:404-467-8138
Practice Address - Street 1:3390 PEACHTREE RD NE
Practice Address - Street 2:#1102
Practice Address - City:ATLANTA
Practice Address - State:GA
Practice Address - Zip Code:30326-1157
Practice Address - Country:US
Practice Address - Phone:404-467-8203
Practice Address - Fax:404-467-8138
Is Sole Proprietor?:No
Enumeration Date:2013-03-14
Last Update Date:2013-03-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAMFC38375106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist