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NPI Code Detail

MEDICARE: KAYLA SHEA

MEDICARE:   KAYLA  SHEA
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1101Y00000XCounselor

General Provider Information

NPI Number : 1164017992
Entity Type Code : Individual
Provider Name (Legal Business Name) : KAYLA SHEA
Provider Business Mailing Address
First Line : 23 WINFIELD RD
Second Line :
City : HOLDEN
State : MA
Zip : 01520-2442
Country : US
Telephone Number : 857-540-7470
Fax Number :
Provider Business Practice Location Address
First Line : 34 CHARLES DR
Second Line :
City : CANTON
State : MA
Zip : 02021-1543
Country : US
Telephone Number : 857-228-5757
Fax Number : 617-396-3077
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/03/2021
Last Update Date : 05/29/2024

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Directions to “ KAYLA SHEA ” Practice Location

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