DAVID SHACK
Psychologist
Active
Individual
NPI: 1811942402
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Psychologist | 103T00000X | Yes | 646 (CT) |
Frequently Asked Questions
NPI 1811942402 is the National Provider Identifier for DAVID SHACK, a Psychologist provider located in Farmington, CT. This NPI was enumerated on May 23, 2006.
DAVID SHACK practices at 270 FARMINGTON AVE, SUITE 309, Farmington, CT 06032.
Quick Facts
- NPI
- 1811942402
- Type
- Individual
- Enumerated
- May 23, 2006
- Last Updated
- Jul 8, 2007
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