Miranda Grace Perl Shaw in Colorado Springs - Clinical
Miranda Grace Perl Shaw - NPI 1629239405
Miranda Grace Perl Shaw is a Clinical in Colorado Springs, Colorado. Miranda Grace Perl Shaw practices all healthcare services and medical treatments related to Clinical. The NPI Number for Miranda Grace Perl Shaw is 1629239405. The last update date is 2021-05-02.
Miranda Grace Perl Shaw's current location address is 4410 S Blissful Cir, Colorado Springs, Colorado. You can contact this provider via phone number 7208916701. The mailing address for Miranda Grace Perl Shaw is 4410 S Blissful Cir, Colorado Springs, Colorado. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Miranda Grace Perl Shaw |
|---|---|
| Address | 4410 S Blissful Cir, Colorado Springs, Colorado |
| Phone Number | 7208916701 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | PSY.D. |
NPI Number Detail
| NPI Number | 1629239405 |
|---|---|
| Provider Enumeration Date | 2008-06-24 |
| Last Updated Date | 2021-05-02 |
Provider Mailing Address Detail
| Address | 4410 S Blissful Cir |
|---|---|
| City | Colorado Springs |
| State | Colorado (CO) |
| Post Code | 809171534 |
| Phone Number | 7208916701 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 103Tc0700X |
| Licence No | PSY.0003845 |
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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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What is the unique 10-digit identification code issued to Miranda Grace Perl Shaw by the Centers for Medicare & Medicaid Services?
The Miranda Grace Perl Shaw has been assigned the NPI (National Provider Identifier) 1629239405 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Could you please provide the complete street address where Miranda Grace Perl Shaw is physically located?
The Miranda Grace Perl Shaw is physically situated at the following address: 4410 S Blissful Cir, Colorado Springs, CO, 809171534.
What is Miranda Grace Perl Shaw's area of expertise and its corresponding taxonomy classification?
The Miranda Grace Perl Shaw's field of specialization is Clinical, and it falls under the taxonomy code 103Tc0700X, which categorizes healthcare providers based on their areas of practice.
On what date did Miranda Grace Perl Shaw receive its 1629239405 assignment from the Centers for Medicare & Medicaid Services?
The Miranda Grace Perl Shaw was assigned its 1629239405 on 2008-06-24, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
As of what date were the details related to Miranda Grace Perl Shaw most recently updated or revised?
The information pertaining to Miranda Grace Perl Shaw, including its address, specialty, and other relevant details, was last updated or revised on 2021-05-02.