Search › Massachusetts › 225100000X
Shannen Wallace
NPI 1073233250 · on the registry since 2022 · sole proprietor
Practice
- Address
- 25 Storey Ave Ste 11
Newburyport, MA 01950 - Phone
- (978) 499-2370
- Organisation at this address
- Walgreen Eastern Co Inc
Julianna Oday, Lmhc, LlcInferred from a shared address, not stated in the registry. - Clinicians at this address
- 5
Additional practice sites
- 3073 White Mountain Hwy, North Conway, NH
Registry record
- Primary taxonomy
- 225100000X
225100000X
- Also registered as
- 225100000X
- Licence states on file
- NH, MA
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2026-05-06
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Massachusetts