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Contact Information

CONSTANCE SHAMP
720 14TH AVENUE
LONGVIEW, WA98632
 Phone: 360-423-0203
 Fax: 360-577-0269
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Mental Health

101YM0800X
Indicates primary specialty

NPI Profile & details for CONSTANCE SHAMP · (Female)

NPI # 1154726503
Status Active
Credentials
Entity Individual
Enumeration date 10/28/2014
Last updated 04/07/2020 - About 6 years ago
Sole proprietor 1 No
Identifiers
  • WA License # CG60474028
  • WA Medicaid 2065847
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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