MR. David A Shade, M.S., LPE-I

NPI #1083761464 in Jonesboro, Arkansas

Provider Information

NPI Number
1083761464
Entity Type
Individual
Name
MR. David A Shade, M.S., LPE-I
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Psychologist
Credential
M.S., LPE-I
Enumeration Date
Jan 5, 2007
Last Updated
Nov 2, 2016

Practice Location

Address
1815 PLEASANT GROVE RD
ZIP Code
72401-7870
Phone
(870) 933-6886

Specialties & Taxonomy Codes

Specialty
Psychologist

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