John Steven Shealy is a Clinical in Tampa, Florida. John Steven Shealy practices all healthcare services and medical treatments related to Clinical. The NPI Number for John Steven Shealy is 1710936711. The last update date is 2007-07-08.
John Steven Shealy's current location address is 13402 Thomasville Cir Apt D, Tampa, Florida. You can contact this provider via phone number 8139802700. The mailing address for John Steven Shealy is 13402 Thomasville Cir Apt D, Tampa, Florida. To know further, please read the information below!
Provider Profile Detail
| Provider Name | John Steven Shealy |
|---|---|
| Address | 13402 Thomasville Cir Apt D, Tampa, Florida |
| Phone Number | 8139802700 |
| Fax Number | |
| Sole Proprietor | X |
| Credentials | PHD |
NPI Number Detail
| NPI Number | 1710936711 |
|---|---|
| Provider Enumeration Date | 2006-05-08 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 13402 Thomasville Cir Apt D |
|---|---|
| City | Tampa |
| State | Florida (FL) |
| Post Code | 336179528 |
| Phone Number | 8139802700 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 103Tc0700X |
| Licence No | PY4777 |
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Definition: A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 59569 | FL | BLUE CROSS BLUE SHIELD ID |
Post Comment/ Review Below
What is the unique identifier code issued to John Steven Shealy by the Centers for Medicare & Medicaid Services (CMS)?
The John Steven Shealy has been assigned the NPI (National Provider Identifier) 1710936711. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Could you kindly provide the complete physical address where John Steven Shealy's facilities are geographically located?
The facilities of John Steven Shealy are physically situated at the following location: 13402 Thomasville Cir Apt D, Tampa, FL, 336179528.
What is John Steven Shealy's specialized field of practice, and what is the corresponding taxonomy classification code?
The John Steven Shealy's area of specialization is Clinical, and the corresponding taxonomy code that categorizes this field of practice is 103Tc0700X.
On what date was the 1710936711 assigned to John Steven Shealy?
The John Steven Shealy was issued its 1710936711 on 2006-05-08, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
As of what date was the information regarding John Steven Shealy, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to John Steven Shealy, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2007-07-08.
NPI Number: 1518960137
Address: 161 Sherman Dr, St Johnsbury, VT