Provider Demographics
NPI:1972308252
Name:SENNEFELDER, SHANNON ELIZABETH (AMFT)
Entity type:Individual
Prefix:
First Name:SHANNON
Middle Name:ELIZABETH
Last Name:SENNEFELDER
Suffix:
Gender:
Credentials:AMFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:888 MILL CREEK RD
Mailing Address - Street 2:
Mailing Address - City:NEWFOUNDLAND
Mailing Address - State:PA
Mailing Address - Zip Code:18445-5061
Mailing Address - Country:US
Mailing Address - Phone:570-591-1725
Mailing Address - Fax:
Practice Address - Street 1:888 MILL CREEK RD
Practice Address - Street 2:
Practice Address - City:NEWFOUNDLAND
Practice Address - State:PA
Practice Address - Zip Code:18445-5061
Practice Address - Country:US
Practice Address - Phone:570-952-4650
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-02-19
Last Update Date:2025-03-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAAMF000036101YP2500X, 106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist
No101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional