Lisa Staab Shadburn in Glendale - Clinical Child & Adolescent
Lisa Staab Shadburn - NPI 1033233952
Lisa Staab Shadburn is a Clinical Child & Adolescent in Glendale, California. Lisa Staab Shadburn practices all healthcare services and medical treatments related to Clinical Child & Adolescent. The NPI Number for Lisa Staab Shadburn is 1033233952. The last update date is 2010-03-24.
Lisa Staab Shadburn's current location address is 1540 E Colorado St, Glendale, California. You can contact this provider via phone number 8182447257. The mailing address for Lisa Staab Shadburn is 1540 E Colorado St, Glendale, California. To know further, please read the information below!
Provider Profile Detail
Provider Name | Lisa Staab Shadburn |
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Address | 1540 E Colorado St, Glendale, California |
Phone Number | 8182447257 |
Fax Number | |
Sole Proprietor | Y |
Credentials | PSY.D. |
NPI Number Detail
NPI Number | 1033233952 |
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Provider Enumeration Date | 2007-03-17 |
Last Updated Date | 2010-03-24 |
Provider Mailing Address Detail
Address | 1540 E Colorado St |
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City | Glendale |
State | California (CA) |
Post Code | 912051514 |
Phone Number | 8182447257 |
Fax Number |
Provider's Primary Taxonomy Detail
Speciality | Clinical Child & Adolescent |
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Taxonomy | 103Tc2200X |
Licence No | PSY17173 |
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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What is the unique 10-digit identification code issued to Lisa Staab Shadburn by the Centers for Medicare & Medicaid Services?
The Lisa Staab Shadburn has been assigned the NPI (National Provider Identifier) 1033233952 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 physical location address of Lisa Staab Shadburn?
The Lisa Staab Shadburn is physically situated at 1540 E Colorado St, in the city of Glendale, state of CA, with the postal code 912051514.
What is the Lisa Staab Shadburn's area of specialization and corresponding taxonomy classification?
The Lisa Staab Shadburn's specialty field is Clinical Child & Adolescent, and it falls under the taxonomy code 103Tc2200X, which categorizes healthcare providers based on their specialties.
On what date did the Lisa Staab Shadburn receive the assignment of its 1033233952 from the Centers for Medicare & Medicaid Services?
The Lisa Staab Shadburn was issued its 1033233952 by the Centers for Medicare & Medicaid Services on 2007-03-17.
When was the information regarding Lisa Staab Shadburn most recently updated?
The details pertaining to the Lisa Staab Shadburn, including its address, specialty, and other relevant information, were last refreshed on 2010-03-24.
NPI Number: 1720081763
Address: 675 E Highway 60, Hardinsburg, KY