Shana Funk's National Provider Identifier (NPI) Details
Shana Funk, LMSW
NPI: 1316120801
Enumeration Date: 2007-12-07
Last updated: 2023-04-13
Sole Proprietor: NO
Status: active
Postal Address: 1116 N 16TH ST, LAFAYETTE, IN
Phone: 765-423-6300
Primary Practice Address: PO BOX 781076, DETROIT, IN
Practice's phone: 317-528-4800