Shawn R Kalback in Waterville - Clinical Child & Adolescent
Shawn R Kalback - NPI 1770602641
Shawn R Kalback is a Clinical Child & Adolescent in Waterville, Maine. Shawn R Kalback practices all healthcare services and medical treatments related to Clinical Child & Adolescent. The NPI Number for Shawn R Kalback is 1770602641. The last update date is 2016-01-04.
Shawn R Kalback's current location address is 149 North St, Waterville, Maine. You can contact this provider via phone number 2078724303 and fax number 2078724294. The mailing address for Shawn R Kalback is 149 North St, Waterville, Maine. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Shawn R Kalback |
|---|---|
| Address | 149 North St, Waterville, Maine |
| Phone Number | 2078724303 |
| Fax Number | 2078724294 |
| Sole Proprietor | N |
| Credentials | PHD |
NPI Number Detail
| NPI Number | 1770602641 |
|---|---|
| Provider Enumeration Date | 2007-03-29 |
| Last Updated Date | 2016-01-04 |
Provider Mailing Address Detail
| Address | 149 North St |
|---|---|
| City | Waterville |
| State | Maine (ME) |
| Post Code | 49014974 |
| Phone Number | 2078724303 |
| Fax Number | 2078724294 |
Provider's Primary Taxonomy Detail
| Speciality | Clinical Child & Adolescent |
|---|---|
| Taxonomy | 103Tc2200X |
| Licence No | 4354 |
|
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 assigned to Shawn R Kalback by the Centers for Medicare & Medicaid Services?
The Shawn R Kalback has been issued the NPI (National Provider Identifier) 1770602641, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Where is the Shawn R Kalback located?
The Shawn R Kalback is located at 149 North St, Waterville, ME 49014974.
What is the area of specialization for Shawn R Kalback, and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for Shawn R Kalback is Clinical Child & Adolescent, and the corresponding taxonomy code that categorizes this area of expertise is 103Tc2200X.
On what date did the Centers for Medicare & Medicaid Services assign the 1770602641 to Shawn R Kalback?
The Centers for Medicare & Medicaid Services assigned the 1770602641 to Shawn R Kalback on 2007-03-29.
As of what date were the Shawn R Kalback's details last updated?
The information pertaining to the Shawn R Kalback, including its address, specialty, and other details, was most recently updated on 2016-01-04.
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