Ellyn Sue Shander in Stamford - Psychiatry

Ellyn Sue Shander - NPI 1134278500

Ellyn Sue Shander is a Psychiatry in Stamford, Connecticut. Ellyn Sue Shander practices all healthcare services and medical treatments related to Psychiatry. The NPI Number for Ellyn Sue Shander is 1134278500. The last update date is 2007-07-09.

Ellyn Sue Shander's current location address is 1933 Long Ridge Rd, Stamford, Connecticut. You can contact this provider via phone number 2035959205 and fax number 2033298011. The mailing address for Ellyn Sue Shander is 1933 Long Ridge Rd, Stamford, Connecticut. To know further, please read the information below!

Provider Profile Detail

Provider Name Ellyn Sue Shander
Address 1933 Long Ridge Rd, Stamford, Connecticut
Phone Number 2035959205
Fax Number 2033298011
Sole Proprietor Y
Credentials MD

NPI Number Detail

NPI Number 1134278500
Provider Enumeration Date 2007-01-08
Last Updated Date 2007-07-09

Provider Mailing Address Detail

Address 1933 Long Ridge Rd
City Stamford
State Connecticut (CT)
Post Code 69033201
Phone Number 2035959205
Fax Number 2033298011

Provider's Primary Taxonomy Detail

Speciality Psychiatry
Taxonomy 2084P0800X
Licence No 24821
Definition:
A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
24821 CT MEDICAL LICENSE

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FAQs about Ellyn Sue Shander

What is the Ellyn Sue Shander's unique identification number?

The Ellyn Sue Shander has been assigned the NPI (National Provider Identifier) Number 1134278500 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.

Can you provide the Ellyn Sue Shander's physical address?

The Ellyn Sue Shander is physically located at 1933 Long Ridge Rd, in the city of Stamford, CT, with the postal code 69033201.

What is the area of specialization for Ellyn Sue Shander, and what is the corresponding taxonomy classification code for this field?

The specialized field of practice for Ellyn Sue Shander is Psychiatry, and the corresponding taxonomy code that categorizes this area of expertise is 2084P0800X.

On what date did the Centers for Medicare & Medicaid Services issue the 1134278500 to Ellyn Sue Shander?

The Ellyn Sue Shander received its 1134278500 assignment from the Centers for Medicare & Medicaid Services on 2007-01-08.

As of what date were the Ellyn Sue Shander's details last updated?

The information pertaining to the Ellyn Sue Shander, including its address, specialty, and other details, was most recently updated on 2007-07-09.

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