Mickey K. Shell in Pine Bluff - Psychologist
Mickey K. Shell - NPI 1396946414
Mickey K. Shell is a Psychologist in Pine Bluff, Arkansas. Mickey K. Shell practices all healthcare services and medical treatments related to Psychologist. The NPI Number for Mickey K. Shell is 1396946414. The last update date is 2007-07-08.
Mickey K. Shell's current location address is 2143 Grider Field Ladd Rd, Pine Bluff, Arkansas. You can contact this provider via phone number 8705355408. The mailing address for Mickey K. Shell is 2143 Grider Field Ladd Rd, Pine Bluff, Arkansas. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Mickey K. Shell |
|---|---|
| Address | 2143 Grider Field Ladd Rd, Pine Bluff, Arkansas |
| Phone Number | 8705355408 |
| Fax Number | |
| Sole Proprietor | Y |
| Credentials | MS |
NPI Number Detail
| NPI Number | 1396946414 |
|---|---|
| Provider Enumeration Date | 2007-05-29 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 2143 Grider Field Ladd Rd |
|---|---|
| City | Pine Bluff |
| State | Arkansas (AR) |
| Post Code | 716019712 |
| Phone Number | 8705355408 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Psychologist |
|---|---|
| Taxonomy | 103T00000X |
| Licence No | 90-24E |
|
Definition: A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and proce |
|
Post Comment/ Review Below
What is the unique provider identifier assigned to Mickey K. Shell?
The Mickey K. Shell has been issued the NPI (National Provider Identifier) 1396946414 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Could you please provide the complete physical location address of Mickey K. Shell?
The Mickey K. Shell is physically situated at 2143 Grider Field Ladd Rd, in the city of Pine Bluff, state of AR, with the postal code 716019712.
What is the area of specialization for Mickey K. Shell, and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for Mickey K. Shell is Psychologist, and the corresponding taxonomy code that categorizes this area of expertise is 103T00000X.
On what date did the Mickey K. Shell receive its 1396946414 assignment from the Centers for Medicare & Medicaid Services?
The Mickey K. Shell was assigned its 1396946414 by the Centers for Medicare & Medicaid Services on 2007-05-29.
When was the information regarding Mickey K. Shell, such as address, specialty, and other details, most recently verified or confirmed to be accurate?
The information pertaining to Mickey K. Shell, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2007-07-08.