Shetler Psychological Services Pc in Goshen - Clinical
Shetler Psychological Services Pc - NPI 1730261835
Shetler Psychological Services Pc is a Clinical in Goshen, Indiana. Shetler Psychological Services Pc practices all healthcare services and medical treatments related to Clinical. The NPI Number for Shetler Psychological Services Pc is 1730261835. The last update date is 2008-10-01.
Shetler Psychological Services Pc's current location address is 1930 W Lincoln Ave, Goshen, Indiana. You can contact this provider via phone number 5745342161 and fax number 5745343887. The mailing address for Shetler Psychological Services Pc is 1930 W Lincoln Ave, Goshen, Indiana. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Shetler Psychological Services Pc |
|---|---|
| Address | 1930 W Lincoln Ave, Goshen, Indiana |
| Phone Number | 5745342161 |
| Fax Number | 5745343887 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | OWNER |
|---|---|
| Authorized Official Name | Shetler Ranell Jay |
| Credentials | PSYD, HSPP |
| Telephone Number | 5745342161 |
NPI Number Detail
| NPI Number | 1730261835 |
|---|---|
| Provider Enumeration Date | 2006-10-19 |
| Last Updated Date | 2008-10-01 |
Provider Mailing Address Detail
| Address | 1930 W Lincoln Ave |
|---|---|
| City | Goshen |
| State | Indiana (IN) |
| Post Code | 465265907 |
| Phone Number | 5745342161 |
| Fax Number | 5745343887 |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 103Tc0700X |
| Licence No | 20041401A |
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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 |
|---|---|---|---|
| 200270630A | IN | -- |
Post Comment/ Review Below
What is the unique identifier code issued to Shetler Psychological Services Pc by the Centers for Medicare & Medicaid Services?
The Shetler Psychological Services Pc has been assigned the NPI (National Provider Identifier) 1730261835. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Could you please provide the complete physical location address of Shetler Psychological Services Pc?
The Shetler Psychological Services Pc is physically situated at 1930 W Lincoln Ave, in the city of Goshen, state of IN, with the postal code 465265907.
What is Shetler Psychological Services Pc's specialized field of practice, and what is the corresponding taxonomy classification code?
The Shetler Psychological Services Pc's area of specialization is Clinical, and the corresponding taxonomy code that categorizes this field of practice is 103Tc0700X.
When was the Shetler Psychological Services Pc's 1730261835 issued?
The Shetler Psychological Services Pc's 1730261835 was issued on 2006-10-19.
When was the information regarding Shetler Psychological Services Pc most recently updated?
The details pertaining to the Shetler Psychological Services Pc, including its address, specialty, and other relevant information, were last refreshed on 2008-10-01.