David A Shade is a Psychologist in Jonesboro, Arkansas. David A Shade practices all healthcare services and medical treatments related to Psychologist. The NPI Number for David A Shade is 1083761464. The last update date is 2016-11-02.
David A Shade's current location address is 1815 Pleasant Grove Rd, Jonesboro, Arkansas. You can contact this provider via phone number 8709336886 and fax number 8709339395. The mailing address for David A Shade is 1815 Pleasant Grove Rd, Jonesboro, Arkansas. To know further, please read the information below!
Provider Profile Detail
| Provider Name | David A Shade |
|---|---|
| Address | 1815 Pleasant Grove Rd, Jonesboro, Arkansas |
| Phone Number | 8709336886 |
| Fax Number | 8709339395 |
| Sole Proprietor | N |
| Credentials | M.S., LPE- |
NPI Number Detail
| NPI Number | 1083761464 |
|---|---|
| Provider Enumeration Date | 2007-01-05 |
| Last Updated Date | 2016-11-02 |
Provider Mailing Address Detail
| Address | 1815 Pleasant Grove Rd |
|---|---|
| City | Jonesboro |
| State | Arkansas (AR) |
| Post Code | 724017870 |
| Phone Number | 8709336886 |
| Fax Number | 8709339395 |
Provider's Primary Taxonomy Detail
| Speciality | Psychologist |
|---|---|
| Taxonomy | 103T00000X |
| Licence No | 83-13EI |
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Definition: A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and proce |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 198883795 | AR | -- | |
| 5A020 | AR | BCBS |
Post Comment/ Review Below
What is the unique identification code assigned to David A Shade by the Centers for Medicare & Medicaid Services?
The David A Shade has been issued the NPI (National Provider Identifier) 1083761464. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you please share the complete physical location address where David A Shade's facilities are situated?
The facilities of David A Shade are physically located at the following address: 1815 Pleasant Grove Rd, Jonesboro, AR, 724017870.
What is David A Shade's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for David A Shade is Psychologist, and the taxonomy code that categorizes this field of expertise is 103T00000X.
When was the David A Shade's 1083761464 issued?
The David A Shade's 1083761464 was issued on 2007-01-05.
When was the information regarding David A Shade, such as address, specialty, and other details, most recently verified or confirmed to be accurate?
The information pertaining to David A Shade, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2016-11-02.