Individual provider · Type 1 NPI

Shannon Davoult

Peer Specialist · Plainview, NY

NPI number 1336922095 Active

Practice location

55 W Ames Ct
Plainview, NY 11803-2304

Specialties and licenses

TaxonomyCodeLicense
Peer Specialist Primary 175T00000XNone listed

Peer Specialist: Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority.

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About NPI 1336922095

Shannon Davoult's National Provider Identifier is 1336922095, issued on Aug 16, 2023. The primary taxonomy on file is Peer Specialist (175T00000X), and the practice location is in Plainview, NY. The record was last updated on Aug 16, 2023.