Laura Theodor Shibles in Old Saybrook - Psychologist

Laura Theodor Shibles - NPI 1538110614

Laura Theodor Shibles is a Psychologist in Old Saybrook, Connecticut. Laura Theodor Shibles practices all healthcare services and medical treatments related to Psychologist. The NPI Number for Laura Theodor Shibles is 1538110614. The last update date is 2009-12-15.

Laura Theodor Shibles's current location address is 20 Research Pkwy, Old Saybrook, Connecticut. You can contact this provider via phone number 8003703651 and fax number 8605100020. The mailing address for Laura Theodor Shibles is 20 Research Pkwy, Old Saybrook, Connecticut. To know further, please read the information below!

Provider Profile Detail

Provider Name Laura Theodor Shibles
Address 20 Research Pkwy, Old Saybrook, Connecticut
Phone Number 8003703651
Fax Number 8605100020
Sole Proprietor N
Credentials PHD

NPI Number Detail

NPI Number 1538110614
Provider Enumeration Date 2006-05-13
Last Updated Date 2009-12-15

Provider Mailing Address Detail

Address 20 Research Pkwy
City Old Saybrook
State Connecticut (CT)
Post Code 64754214
Phone Number 8003703651
Fax Number 8605100020

Provider's Primary Taxonomy Detail

Speciality Psychologist
Taxonomy 103T00000X
Licence No 7026
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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FAQs about Laura Theodor Shibles

What is the unique 10-digit identifier code issued to Laura Theodor Shibles by the Centers for Medicare & Medicaid Services?

The Laura Theodor Shibles has been assigned the NPI (National Provider Identifier) 1538110614 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.

Could you share the physical location details of Laura Theodor Shibles?

The Laura Theodor Shibles is situated at 20 Research Pkwy, in the city of Old Saybrook, state of CT, with the zip code 64754214.

What is the area of specialization for Laura Theodor Shibles, and what is the corresponding taxonomy classification code for this field?

The specialized field of practice for Laura Theodor Shibles is Psychologist, and the corresponding taxonomy code that categorizes this area of expertise is 103T00000X.

On what date did the Centers for Medicare & Medicaid Services issue the 1538110614 to Laura Theodor Shibles?

The Laura Theodor Shibles received its 1538110614 assignment from the Centers for Medicare & Medicaid Services on 2006-05-13.

As of what date were the details related to Laura Theodor Shibles most recently updated or revised?

The information pertaining to Laura Theodor Shibles, including its address, specialty, and other relevant details, was last updated or revised on 2009-12-15.

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