Dante Sandlin Shaw is a Clinical in Suwanee, Georgia. Dante Sandlin Shaw practices all healthcare services and medical treatments related to Clinical. The NPI Number for Dante Sandlin Shaw is 1841366630. The last update date is 2007-07-08.
Dante Sandlin Shaw's current location address is 2120 Laurel Lake Dr, Suwanee, Georgia. You can contact this provider via phone number 4045564226 and fax number 7709637490. The mailing address for Dante Sandlin Shaw is 2120 Laurel Lake Dr, Suwanee, Georgia. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Dante Sandlin Shaw |
|---|---|
| Address | 2120 Laurel Lake Dr, Suwanee, Georgia |
| Phone Number | 4045564226 |
| Fax Number | 7709637490 |
| Sole Proprietor | Y |
| Credentials | PH.D. |
NPI Number Detail
| NPI Number | 1841366630 |
|---|---|
| Provider Enumeration Date | 2006-11-26 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 2120 Laurel Lake Dr |
|---|---|
| City | Suwanee |
| State | Georgia (GA) |
| Post Code | 300244317 |
| Phone Number | 4045564226 |
| Fax Number | 7709637490 |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 103Tc0700X |
| Licence No | 1314 |
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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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What is the unique 10-digit identifier code issued to Dante Sandlin Shaw by the Centers for Medicare & Medicaid Services?
The Dante Sandlin Shaw has been assigned the NPI (National Provider Identifier) 1841366630 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Could you kindly provide the complete physical address where Dante Sandlin Shaw's facilities are geographically located?
The facilities of Dante Sandlin Shaw are physically situated at the following location: 2120 Laurel Lake Dr, Suwanee, GA, 300244317.
What is Dante Sandlin Shaw's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?
The primary field of medical specialization for Dante Sandlin Shaw is Clinical, and the taxonomy classification code that categorizes this area of expertise is 103Tc0700X.
On what date did the Centers for Medicare & Medicaid Services issue the 1841366630 to Dante Sandlin Shaw?
The Dante Sandlin Shaw received its 1841366630 assignment from the Centers for Medicare & Medicaid Services on 2006-11-26.
When was the information regarding Dante Sandlin Shaw most recently updated?
The details pertaining to the Dante Sandlin Shaw, including its address, specialty, and other relevant information, were last refreshed on 2007-07-08.