Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DAVID SHACK
ActiveDAVID SHACK is a Psychologist healthcare provider located in FARMINGTON, Connecticut. NPI 1811942402 is currently active in the NPPES registry. Verify at CMS.
Psychologist · FARMINGTON, CT
Registration Details
- NPI Number
- 1811942402
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- May 23, 2006 (20.219635695635 yrs)
- Last Updated
- Jul 8, 2007
- License
-
646 (CT)
Practice Information
- Address
-
270 FARMINGTON AVESUITE 309FARMINGTON, CT, 060321909Browse CT providers · Browse ZIP 06032
- Phone
- 8606775570
- Primary Specialty
-
Psychologist
103T00000X
Other Psychologist Providers in FARMINGTON, CT
| Name | Credential | NPI |
|---|---|---|
| JULIAN FORD | PHD | 1083612477 |
| MARY CASEY JACOB | PH.D. | 1083612246 |
| RONALD KADDEN | PHD | 1780682633 |
| ELISE KABELA-CORMIER | PHD | 1225036171 |
| HOWARD TENNEN | PHD | 1225036254 |
| DR. AARON SARDELL | PSYD | 1952461477 |
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.