Carita R Shawchuck Phd Pc in Fargo - Clinical Child & Adolescent
Carita R Shawchuck Phd Pc - NPI 1871650267
Carita R Shawchuck Phd Pc is a Clinical Child & Adolescent in Fargo, North Dakota. Carita R Shawchuck Phd Pc practices all healthcare services and medical treatments related to Clinical Child & Adolescent. The NPI Number for Carita R Shawchuck Phd Pc is 1871650267. The last update date is 2007-12-12.
Carita R Shawchuck Phd Pc's current location address is 1351 Page Dr S, Fargo, North Dakota. You can contact this provider via phone number 7018933419 and fax number 7013568801. The mailing address for Carita R Shawchuck Phd Pc is 1351 Page Dr S, Fargo, North Dakota. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Carita R Shawchuck Phd Pc |
|---|---|
| Address | 1351 Page Dr S, Fargo, North Dakota |
| Phone Number | 7018933419 |
| Fax Number | 7013568801 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | PRESIDENT |
|---|---|
| Authorized Official Name | Shawchuck Renee Carita |
| Credentials | PH.D. |
| Telephone Number | 7018933419 |
NPI Number Detail
| NPI Number | 1871650267 |
|---|---|
| Provider Enumeration Date | 2007-01-03 |
| Last Updated Date | 2007-12-12 |
Provider Mailing Address Detail
| Address | 1351 Page Dr S |
|---|---|
| City | Fargo |
| State | North Dakota (ND) |
| Post Code | 581033502 |
| Phone Number | 7018933419 |
| Fax Number | 7013568801 |
Provider's Primary Taxonomy Detail
| Speciality | Clinical Child & Adolescent |
|---|---|
| Taxonomy | 103Tc2200X |
|
Definition: A psychologist who develops and applies scientific knowledge to the delivery of psychological services to infants, toddlers, children and adolescents within their social context. Of particular importance to the specialty of clinical child psychology |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 6753001 | ND | ND BLUE SHIELD | |
| 86G13SH | MN | MN BLUE SHEILD |
Post Comment/ Review Below
What is the unique 10-digit identification code assigned to Carita R Shawchuck Phd Pc by the Centers for Medicare & Medicaid Services?
The Carita R Shawchuck Phd Pc has been issued the NPI (National Provider Identifier) 1871650267, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you please provide the complete physical location address of Carita R Shawchuck Phd Pc?
The Carita R Shawchuck Phd Pc is physically situated at 1351 Page Dr S, in the city of Fargo, state of ND, with the postal code 581033502.
What is Carita R Shawchuck Phd Pc's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?
The primary area of medical expertise for Carita R Shawchuck Phd Pc is Clinical Child & Adolescent, and the corresponding taxonomy classification code for this specialized field is 103Tc2200X.
On what date did the Centers for Medicare & Medicaid Services issue the 1871650267 to Carita R Shawchuck Phd Pc?
The Carita R Shawchuck Phd Pc received its 1871650267 assignment from the Centers for Medicare & Medicaid Services on 2007-01-03.
When was the information regarding Carita R Shawchuck Phd Pc most recently updated?
The details pertaining to the Carita R Shawchuck Phd Pc, including its address, specialty, and other relevant information, were last refreshed on 2007-12-12.