Shelley List in Saint Louis - Intellectual And Developmental Disabilities
Shelley List - NPI 1518136589
Shelley List is a Intellectual And Developmental Disabilities in Saint Louis, Missouri. Shelley List practices all healthcare services and medical treatments related to Intellectual And Developmental Disabilities. The NPI Number for Shelley List is 1518136589. The last update date is 2008-02-25.
Shelley List's current location address is 7741 Gannon Ave, Saint Louis, Missouri. You can contact this provider via phone number 3147259078. The mailing address for Shelley List is 7741 Gannon Ave, Saint Louis, Missouri. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Shelley List |
|---|---|
| Address | 7741 Gannon Ave, Saint Louis, Missouri |
| Phone Number | 3147259078 |
| Fax Number | |
| Sole Proprietor | Y |
| Credentials | M. ED. BCB |
NPI Number Detail
| NPI Number | 1518136589 |
|---|---|
| Provider Enumeration Date | 2008-02-25 |
| Last Updated Date | 2008-02-25 |
Provider Mailing Address Detail
| Address | 7741 Gannon Ave |
|---|---|
| City | Saint Louis |
| State | Missouri (MO) |
| Post Code | 631302822 |
| Phone Number | 3147259078 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Intellectual And Developmental Disabilities |
|---|---|
| Taxonomy | 103Tm1800X |
| Licence No | 1-03-1348 |
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Definition: A psychologist who works with people who have cognitive impairments and developmental disabilities. |
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What is the unique identification code assigned to Shelley List by the Centers for Medicare & Medicaid Services?
The Shelley List has been issued the NPI (National Provider Identifier) 1518136589. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you share the physical location details of Shelley List?
The Shelley List is situated at 7741 Gannon Ave, in the city of Saint Louis, state of MO, with the zip code 631302822.
What is Shelley List's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for Shelley List is Intellectual And Developmental Disabilities, and the taxonomy code that categorizes this field of expertise is 103Tm1800X.
On what date did the Centers for Medicare & Medicaid Services issue the 1518136589 to Shelley List?
The Shelley List received its 1518136589 assignment from the Centers for Medicare & Medicaid Services on 2008-02-25.
As of what date was the information regarding Shelley List, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Shelley List, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2008-02-25.
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