Individual provider · Type 1 NPI

Michael Shamalov, HSPP

Health Service Psychologist · Terre Haute, IN

NPI number 1467950477 Active

Practice location

500 8th Ave
Terre Haute, IN 47804-4072

Mailing address

PO Box 55107
Indianapolis, IN 46205-0107

Specialties and licenses

TaxonomyCodeLicense
Health Service Psychologist Primary 103TH0100XNone listed
Clinical Psychologist 103TC0700X20043100A (IN)

Health Service Psychologist: A psychologist, certified/licensed at the independent practice level in his/her state, who is duly trained and experienced in the delivery of direct, preventative, assessment, and therapeutic intervention services to individuals whose growth, adjustment, or functioning is actually impaired or is demonstrably at high risk of impairment (1974).

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About NPI 1467950477

Michael Shamalov, HSPP's National Provider Identifier is 1467950477, issued on Jan 24, 2018. The primary taxonomy on file is Health Service Psychologist (103TH0100X), and the practice location is in Terre Haute, IN. The record was last updated on Feb 7, 2018.