Glenn D Shean is a Clinical in Grafton, Virginia. Glenn D Shean practices all healthcare services and medical treatments related to Clinical. The NPI Number for Glenn D Shean is 1427152529. The last update date is 2007-07-08.
Glenn D Shean's current location address is Po Box 1069, Grafton, Virginia. You can contact this provider via phone number 7578779140 and fax number 7578773925. The mailing address for Glenn D Shean is Po Box 1069, Grafton, Virginia. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Glenn D Shean |
|---|---|
| Address | Po Box 1069, Grafton, Virginia |
| Phone Number | 7578779140 |
| Fax Number | 7578773925 |
| Sole Proprietor | N |
| Credentials | LCP |
NPI Number Detail
| NPI Number | 1427152529 |
|---|---|
| Provider Enumeration Date | 2006-09-11 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | Po Box 1069 |
|---|---|
| City | Grafton |
| State | Virginia (VA) |
| Post Code | 236921069 |
| Phone Number | 7578779140 |
| Fax Number | 7578773925 |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 103Tc0700X |
| Licence No | 107000605 |
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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 |
|---|---|---|---|
| 17162 | ANTHEM | ||
| 7746563 | VA | -- | |
| 1979 | VALUE OPTIONS |
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What is the unique 10-digit identifier code assigned to Glenn D Shean by the Centers for Medicare & Medicaid Services?
The Glenn D Shean has been issued the NPI (National Provider Identifier) 1427152529 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Could you please provide the complete physical location address of Glenn D Shean?
The Glenn D Shean is physically situated at Po Box 1069, in the city of Grafton, state of VA, with the postal code 236921069.
What is the Glenn D Shean's specialty and taxonomy code?
The Glenn D Shean's specialty is Clinical, and the corresponding taxonomy code is 103Tc0700X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1427152529 to Glenn D Shean?
The Centers for Medicare & Medicaid Services originally issued the 1427152529 to Glenn D Shean on 2006-09-11.
When was the information related to Glenn D Shean most recently updated or refreshed?
The details pertaining to the Glenn D Shean, including its address, specialty, and other relevant information, were last updated or refreshed on 2007-07-08.
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