Search › California › 176B00000X
Shannon Staloch, LM, CPM
NPI 1518295500 · on the registry since 2009 · sole proprietor
Practice
- Address
- 2479 Le Conte Ave Apt 3
Berkeley, CA 94709 - Phone
- (408) 464-1441
- Fax
- (510) 991-1562
Registry record
- Primary taxonomy
- 176B00000X
176B00000X
- Licence states on file
- CA
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2023-08-15
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