Provider Demographics
NPI:1053986851
Name:ARGYROS, SHANNA
Entity type:Individual
Prefix:
First Name:SHANNA
Middle Name:
Last Name:ARGYROS
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 1:70 OLD MILL RD
Mailing Address - Street 2:
Mailing Address - City:LEE
Mailing Address - State:NH
Mailing Address - Zip Code:03861-6708
Mailing Address - Country:US
Mailing Address - Phone:603-519-7099
Mailing Address - Fax:
Practice Address - Street 1:70 OLD MILL RD
Practice Address - Street 2:
Practice Address - City:LEE
Practice Address - State:NH
Practice Address - Zip Code:03861-6708
Practice Address - Country:US
Practice Address - Phone:603-519-7099
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-05-24
Last Update Date:2021-09-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior Technician