Individual provider · Type 1 NPI

David Shack

Psychologist · Farmington, CT

NPI number 1811942402 Active

Practice location

270 Farmington Ave, Suite 309
Farmington, CT 06032-1909

Mailing address

8 Magnolia Cir
Farmington, CT 06032-2049

Specialties and licenses

TaxonomyCodeLicense
Psychologist Primary 103T00000X646 (CT)

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 1811942402

David Shack's National Provider Identifier is 1811942402, issued on May 23, 2006. The primary taxonomy on file is Psychologist (103T00000X), and the practice location is in Farmington, CT. The record was last updated on Jul 13, 2026.