Paul Louis Candido in Shelburne - Clinical
Paul Louis Candido - NPI 1790885846
Paul Louis Candido is a Clinical in Shelburne, Vermont. Paul Louis Candido practices all healthcare services and medical treatments related to Clinical. The NPI Number for Paul Louis Candido is 1790885846. The last update date is 2007-07-08.
Paul Louis Candido's current location address is 145 Pine Haven Shores Rd, Shelburne, Vermont. You can contact this provider via phone number 8028644513 and fax number 8029855061. The mailing address for Paul Louis Candido is 145 Pine Haven Shores Rd, Shelburne, Vermont. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Paul Louis Candido |
|---|---|
| Address | 145 Pine Haven Shores Rd, Shelburne, Vermont |
| Phone Number | 8028644513 |
| Fax Number | 8029855061 |
| Sole Proprietor | Y |
| Credentials | PH.D. |
NPI Number Detail
| NPI Number | 1790885846 |
|---|---|
| Provider Enumeration Date | 2006-09-25 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 145 Pine Haven Shores Rd |
|---|---|
| City | Shelburne |
| State | Vermont (VT) |
| Post Code | 54827703 |
| Phone Number | 8028644513 |
| Fax Number | 8029855061 |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 103Tc0700X |
| Licence No | 480000412 |
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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 |
|---|---|---|---|
| 1002636 | VT | -- |
Post Comment/ Review Below
What is the Paul Louis Candido's 1790885846?
The Paul Louis Candido's NPI (National Provider Identifier) Number is 1790885846. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Could you please share the complete physical location address where Paul Louis Candido's facilities are situated?
The facilities of Paul Louis Candido are physically located at the following address: 145 Pine Haven Shores Rd, Shelburne, VT, 54827703.
What is Paul Louis Candido's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?
The primary area of medical expertise for Paul Louis Candido is Clinical, and the corresponding taxonomy classification code for this specialized field is 103Tc0700X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1790885846 to Paul Louis Candido?
The Centers for Medicare & Medicaid Services originally issued the 1790885846 to Paul Louis Candido on 2006-09-25.
As of what date were the details related to Paul Louis Candido most recently updated or revised?
The information pertaining to Paul Louis Candido, including its address, specialty, and other relevant details, was last updated or revised on 2007-07-08.
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