Provider Demographics
NPI:1346036373
Name:FROST, SHAWNNA LEIGH
Entity type:Individual
Prefix:
First Name:SHAWNNA
Middle Name:LEIGH
Last Name:FROST
Suffix:
Gender:
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:74 WELLESLEY DR
Mailing Address - Street 2:
Mailing Address - City:MILFORD
Mailing Address - State:NH
Mailing Address - Zip Code:03055-3042
Mailing Address - Country:US
Mailing Address - Phone:603-547-7562
Mailing Address - Fax:
Practice Address - Street 1:112 PLEASANT ST STE 5
Practice Address - Street 2:
Practice Address - City:CONCORD
Practice Address - State:NH
Practice Address - Zip Code:03301-2931
Practice Address - Country:US
Practice Address - Phone:603-429-1999
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-04-16
Last Update Date:2025-04-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health