DR. Chadwick J Shade, PHD
NPI #1255658860 in Elmendorf Afb, Alaska
Provider Information
- NPI Number
- 1255658860
- Entity Type
- Individual
- Name
- DR. Chadwick J Shade, PHD
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Psychologist - Clinical
- Credential
- PHD
- Enumeration Date
- Apr 23, 2010
- Last Updated
- Apr 23, 2010
Practice Location
- Address
- 5955 ZEAMER AVENUE
- Address 2
- 3RD MDG
- City
- Elmendorf Afb
- State
- Alaska
- ZIP Code
- 99506
- Phone
- (907) 580-2181
Specialties & Taxonomy Codes
| Specialty |
|---|
| Psychologist - Clinical — Clinical |
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