Shannon Dubach in Berkeley - Clinical Child & Adolescent
Shannon Dubach - NPI 1992967996
Shannon Dubach is a Clinical Child & Adolescent in Berkeley, California. Shannon Dubach practices all healthcare services and medical treatments related to Clinical Child & Adolescent. The NPI Number for Shannon Dubach is 1992967996. The last update date is 2019-01-28.
Shannon Dubach's current location address is 2041 Bancroft Way Ste 307, Berkeley, California. You can contact this provider via phone number 5106863773 and fax number 5106491133. The mailing address for Shannon Dubach is 2041 Bancroft Way Ste 307, Berkeley, California. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Shannon Dubach |
|---|---|
| Address | 2041 Bancroft Way Ste 307, Berkeley, California |
| Phone Number | 5106863773 |
| Fax Number | 5106491133 |
| Sole Proprietor | Y |
| Credentials | PSYD |
NPI Number Detail
| NPI Number | 1992967996 |
|---|---|
| Provider Enumeration Date | 2008-06-30 |
| Last Updated Date | 2019-01-28 |
Provider Mailing Address Detail
| Address | 2041 Bancroft Way Ste 307 |
|---|---|
| City | Berkeley |
| State | California (CA) |
| Post Code | 947041406 |
| Phone Number | 5106863773 |
| Fax Number | 5106491133 |
Provider's Primary Taxonomy Detail
| Speciality | Clinical Child & Adolescent |
|---|---|
| Taxonomy | 103Tc2200X |
| Licence No | PSY24793 |
|
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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Post Comment/ Review Below
What is the unique 10-digit identifier code issued to Shannon Dubach by the Centers for Medicare & Medicaid Services?
The Shannon Dubach has been assigned the NPI (National Provider Identifier) 1992967996 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Could you provide the complete physical address where Shannon Dubach is located?
The Shannon Dubach is situated at the following address: 2041 Bancroft Way Ste 307, Berkeley, CA, 947041406.
What is Shannon Dubach's area of expertise and its corresponding taxonomy classification?
The Shannon Dubach's field of specialization is Clinical Child & Adolescent, and it falls under the taxonomy code 103Tc2200X, which categorizes healthcare providers based on their areas of practice.
On what date did the Shannon Dubach receive its 1992967996 assignment from the Centers for Medicare & Medicaid Services?
The Shannon Dubach was assigned its 1992967996 by the Centers for Medicare & Medicaid Services on 2008-06-30.
As of what date was the information regarding Shannon Dubach, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Shannon Dubach, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2019-01-28.
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