Provider Demographics
NPI:1306636378
Name:SHOUGH, SABRA KAY (MSW)
Entity type:Individual
Prefix:
First Name:SABRA
Middle Name:KAY
Last Name:SHOUGH
Suffix:
Gender:F
Credentials:MSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1514 LINDA LN
Mailing Address - Street 2:
Mailing Address - City:BILLINGS
Mailing Address - State:MT
Mailing Address - Zip Code:59105-4436
Mailing Address - Country:US
Mailing Address - Phone:406-697-4316
Mailing Address - Fax:
Practice Address - Street 1:1514 LINDA LN
Practice Address - Street 2:
Practice Address - City:BILLINGS
Practice Address - State:MT
Practice Address - Zip Code:59105-4436
Practice Address - Country:US
Practice Address - Phone:406-697-4316
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-05-12
Last Update Date:2025-05-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program