MR. SHAUN M PATENAUDE


Address: 78 Harvey Rd, Durham, CT 06422-1905
Phone: 8603490437

MR. SHAUN M PATENAUDE (NPI# 1265705511) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1265705511
Entity Type Individual
Full Name MR. SHAUN M PATENAUDE
Credential M.A.
Practice Address 78 Harvey Rd
Durham
CT 06422-1905
Practice Telephone 8603490437
Mailing Telephone 8603490437
Enumeration Date 2012-02-16
Last Update Date 2012-02-16
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 101YM0800X Counselor
Specialization: Mental Health
Behavioral Health & Social Service Providers

Office Location

Street Address 78 HARVEY RD
City DURHAM
State CT
Zip Code 06422-1905

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Taxonomy Information

Taxonomy Code 101YM0800X
Grouping Behavioral Health & Social Service Providers
Classification Counselor
Specialization Mental Health

Taxonomy Definition

Definition to come...

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Competitor

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City DURHAM
Zip Code 06422

Improve Information

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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