Angela Shy in Little Rock - Child & Adolescent Psychiatry

Angela Shy - NPI 1629199690

Angela Shy is a Child & Adolescent Psychiatry in Little Rock, Arkansas. Angela Shy practices all healthcare services and medical treatments related to Child & Adolescent Psychiatry. The NPI Number for Angela Shy is 1629199690. The last update date is 2011-11-02.

Angela Shy's current location address is 4301 W Markham St # 783, Little Rock, Arkansas. You can contact this provider via phone number 5016868000 and fax number 5012961427. The mailing address for Angela Shy is 4301 W Markham St # 783, Little Rock, Arkansas. To know further, please read the information below!

Provider Profile Detail

Provider Name Angela Shy
Address 4301 W Markham St # 783, Little Rock, Arkansas
Phone Number 5016868000
Fax Number 5012961427
Sole Proprietor N
Credentials MD

NPI Number Detail

NPI Number 1629199690
Provider Enumeration Date 2007-04-03
Last Updated Date 2011-11-02

Provider Mailing Address Detail

Address 4301 W Markham St # 783
City Little Rock
State Arkansas (AR)
Post Code 722057101
Phone Number 5016868000
Fax Number 5012961427

Provider's Primary Taxonomy Detail

Speciality Child & Adolescent Psychiatry
Taxonomy 2084P0804X
Licence No E-5203
Definition:
Child & Adolescent Psychiatry is a subspecialty of psychiatry with additional skills and training in the diagnosis and treatment of developmental, behavioral, emotional, and mental disorders of childhood and adolescence.

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
164439001 AR --

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FAQs about Angela Shy

What is the Angela Shy's 1629199690?

The Angela Shy's NPI (National Provider Identifier) Number is 1629199690. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).

Could you kindly provide the complete physical address where Angela Shy's facilities are geographically located?

The facilities of Angela Shy are physically situated at the following location: 4301 W Markham St # 783, Little Rock, AR, 722057101.

What is Angela Shy's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?

The specialized area of practice for Angela Shy is Child & Adolescent Psychiatry, and the taxonomy code that categorizes this field of expertise is 2084P0804X.

On what date did the Angela Shy receive the assignment of its 1629199690 from the Centers for Medicare & Medicaid Services?

The Angela Shy was issued its 1629199690 by the Centers for Medicare & Medicaid Services on 2007-04-03.

As of what date were the details related to Angela Shy most recently updated or revised?

The information pertaining to Angela Shy, including its address, specialty, and other relevant details, was last updated or revised on 2011-11-02.

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