Provider Demographics
NPI:1962554527
Name:TRONTEL, SHAWN B (MSW)
Entity type:Individual
Prefix:MRS
First Name:SHAWN
Middle Name:B
Last Name:TRONTEL
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 1:33 2ND ST E
Mailing Address - Street 2:
Mailing Address - City:KALISPELL
Mailing Address - State:MT
Mailing Address - Zip Code:59901-6108
Mailing Address - Country:US
Mailing Address - Phone:406-752-6850
Mailing Address - Fax:
Practice Address - Street 1:33 2ND ST E
Practice Address - Street 2:
Practice Address - City:KALISPELL
Practice Address - State:MT
Practice Address - Zip Code:59901-6108
Practice Address - Country:US
Practice Address - Phone:406-752-6850
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-16
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MT1521041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical