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Shannan Carpenter
NPI 1942752860 · on the registry since 2016
Practice
- Address
- 3404 King St
Berkeley, CA 94703 - Phone
- (510) 601-8966
- Clinicians at this address
- 6
Registry record
- Primary taxonomy
- 171M00000X
171M00000X
- Also registered as
- 101Y00000X
- Licence states on file
- NULL
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2016-10-26
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 California