Provider Demographics
NPI:1760668917
Name:STEERE, SHANNON KELLY
Entity type:Individual
Prefix:MRS
First Name:SHANNON
Middle Name:KELLY
Last Name:STEERE
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:160 HIGH ST
Mailing Address - Street 2:
Mailing Address - City:SPRINGFIELD
Mailing Address - State:MA
Mailing Address - Zip Code:01105-1376
Mailing Address - Country:US
Mailing Address - Phone:413-739-3954
Mailing Address - Fax:413-785-1728
Practice Address - Street 1:160 HIGH ST
Practice Address - Street 2:
Practice Address - City:SPRINGFIELD
Practice Address - State:MA
Practice Address - Zip Code:01105-1376
Practice Address - Country:US
Practice Address - Phone:413-739-3954
Practice Address - Fax:413-785-1728
Is Sole Proprietor?:No
Enumeration Date:2008-01-18
Last Update Date:2008-01-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist