Individual provider · Type 1 NPI

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

Psychologist · Jonesboro, AR

NPI number 1083761464 Active

Practice location

1815 Pleasant Grove Rd
Jonesboro, AR 72401-7870

Call (870) 933-6886 Map

Fax (870) 933-9395

Specialties and licenses

TaxonomyCodeLicense
Psychologist Primary 103T00000X83-13EI (AR)

Psychologist: A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and procedures, for the purpose of preventing or eliminating symptomatic, maladaptive, or undesired behavior and of enhancing interpersonal relationships, work and life adjustmen…

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About NPI 1083761464

David A. Shade, M.S., LPE-I's National Provider Identifier is 1083761464, issued on Jan 5, 2007. The primary taxonomy on file is Psychologist (103T00000X), and the practice location is in Jonesboro, AR. The record was last updated on Nov 2, 2016.