Shawna Blake Kirby in West Columbia - Clinical
Shawna Blake Kirby - NPI 1174686356
Shawna Blake Kirby is a Clinical in West Columbia, South Carolina. Shawna Blake Kirby practices all healthcare services and medical treatments related to Clinical. The NPI Number for Shawna Blake Kirby is 1174686356. The last update date is 2017-05-30.
Shawna Blake Kirby's current location address is 1505 Charleston Hwy, West Columbia, South Carolina. You can contact this provider via phone number 8039951838. The mailing address for Shawna Blake Kirby is 1505 Charleston Hwy, West Columbia, South Carolina. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Shawna Blake Kirby |
|---|---|
| Address | 1505 Charleston Hwy, West Columbia, South Carolina |
| Phone Number | 8039951838 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | PHD |
NPI Number Detail
| NPI Number | 1174686356 |
|---|---|
| Provider Enumeration Date | 2006-12-18 |
| Last Updated Date | 2017-05-30 |
Provider Mailing Address Detail
| Address | 1505 Charleston Hwy |
|---|---|
| City | West Columbia |
| State | South Carolina (SC) |
| Post Code | 291695069 |
| Phone Number | 8039951838 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 103Tc0700X |
| Licence No | 1251 |
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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 |
|---|---|---|---|
| PS0613 | SC | -- |
Post Comment/ Review Below
What is the unique provider identifier assigned to Shawna Blake Kirby?
The Shawna Blake Kirby has been issued the NPI (National Provider Identifier) 1174686356 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Could you share the physical location details of Shawna Blake Kirby?
The Shawna Blake Kirby is situated at 1505 Charleston Hwy, in the city of West Columbia, state of SC, with the zip code 291695069.
What is the Shawna Blake Kirby's area of specialization and corresponding taxonomy classification?
The Shawna Blake Kirby's specialty field is Clinical, and it falls under the taxonomy code 103Tc0700X, which categorizes healthcare providers based on their specialties.
When was the Shawna Blake Kirby's 1174686356 issued?
The Shawna Blake Kirby's 1174686356 was issued on 2006-12-18.
As of what date were the details pertaining to Shawna Blake Kirby last refreshed?
The information related to the Shawna Blake Kirby, including its address, specialty, and other relevant details, was last updated on 2017-05-30.