DoctorDataHub
Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

DR. CHADWICK J SHADE, PHD

Active

DR. CHADWICK J SHADE, PHD is a Clinical Psychologist healthcare provider located in ELMENDORF AFB, Alaska. NPI 1255658860 is currently active in the NPPES registry. Verify at CMS.

Clinical Psychologist · ELMENDORF AFB, AK

Registration Details

NPI Number
1255658860
Provider Type
Individual
Gender
Male
NPI Issued
Apr 23, 2010 (16.277309886446 yrs)
Last Updated
Apr 23, 2010
License
PSY0091 (MO)

Practice Information

Address
5955 ZEAMER AVENUE
3RD MDG
ELMENDORF AFB, AK, 99506
Browse AK providers · Browse ZIP 99506
Phone
9075802181
Primary Specialty
Clinical Psychologist
103TC0700X

Other Clinical Psychologist Providers in ELMENDORF AFB, AK

Name Credential NPI
DR. RICHARD THOMAS BARKER PSY.D. 1326039314
DR. VICKI ANN LUMLEY PH.D. 1558345876
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.