Shellie Dee Locke in Kenosha - Clinical Neuropsychologist
Shellie Dee Locke - NPI 1336319979
Shellie Dee Locke is a Clinical Neuropsychologist in Kenosha, Wisconsin. Shellie Dee Locke practices all healthcare services and medical treatments related to Clinical Neuropsychologist. The NPI Number for Shellie Dee Locke is 1336319979. The last update date is 2008-03-11.
Shellie Dee Locke's current location address is 9020 15th Ave, Kenosha, Wisconsin. You can contact this provider via phone number 7082247442. The mailing address for Shellie Dee Locke is 9020 15th Ave, Kenosha, Wisconsin. To know further, please read the information below!
Provider Profile Detail
Provider Name | Shellie Dee Locke |
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Address | 9020 15th Ave, Kenosha, Wisconsin |
Phone Number | 7082247442 |
Fax Number | |
Sole Proprietor | Y |
Credentials | PH.D. |
NPI Number Detail
NPI Number | 1336319979 |
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Provider Enumeration Date | 2008-03-11 |
Last Updated Date | 2008-03-11 |
Provider Mailing Address Detail
Address | 9020 15th Ave |
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City | Kenosha |
State | Wisconsin (WI) |
Post Code | 531436803 |
Phone Number | 7082247442 |
Fax Number |
Provider's Primary Taxonomy Detail
Speciality | Clinical Neuropsychologist |
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Taxonomy | 103G00000X |
Licence No | 2660-057 |
Definition: A clinical psychologist who applies principles of assessment and intervention based upon the scientific study of human behavior as it relates to normal and abnormal functioning of the central nervous system. The specialty is dedicated to enhancing th |
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What is the unique 10-digit identification code issued to Shellie Dee Locke by the Centers for Medicare & Medicaid Services?
The Shellie Dee Locke has been assigned the NPI (National Provider Identifier) 1336319979 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Could you please provide the complete street address where Shellie Dee Locke is physically located?
The Shellie Dee Locke is physically situated at the following address: 9020 15Th Ave, Kenosha, WI, 531436803.
What is the Shellie Dee Locke's area of specialization and corresponding taxonomy classification?
The Shellie Dee Locke's specialty field is Clinical Neuropsychologist, and it falls under the taxonomy code 103G00000X, which categorizes healthcare providers based on their specialties.
On what date did the Centers for Medicare & Medicaid Services assign the 1336319979 to Shellie Dee Locke?
The Centers for Medicare & Medicaid Services assigned the 1336319979 to Shellie Dee Locke on 2008-03-11.
When was the information regarding Shellie Dee Locke, such as address, specialty, and other details, most recently verified or confirmed to be accurate?
The information pertaining to Shellie Dee Locke, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2008-03-11.