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CARITA R SHAWCHUCK PHD PC NPI 1013269257


NPI Information

NPI: 1013269257
Provider Name: CARITA R SHAWCHUCK, PHD, PC

Doing Business As: CHILD AND FAMILY THERAPY ASSOCIATES

Classification: Psychologist - 103TC2200X
Entity Type: Organization

Specialization: Clinical Child & Adolescent

Address:
1121 WESTRAC DR S STE 204
FARGO, ND
ZIP 58103
Phone: (701) 893-3419
Get Directions

CARITA R SHAWCHUCK, PHD, PC is a clinical child and adolescent psychologist in Fargo, ND. The provider is a psychologist who develops and applies scientific knowledge to the delivery of psychological services to infants, toddlers, children and adolescents within their social context. Of particular importance to the specialty of clinical child psychology is an understanding of the basic psychological needs of children and adolescents, and how the family and other social contexts influence the socio-emotional adjustment, cognitive development, behavioral adaptation and health status of children and adolescents. CARITA R SHAWCHUCK, PHD, PC NPI is 1013269257. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Child And Family Therapy Associates.

The provider's business location address is:

1121 WESTRAC DR S STE 204
FARGO, ND
ZIP 58103-385
Phone: (701) 893-3419
Fax: (701) 356-8801

The provider's authorized official is Carita R Shawchuck .
The authorized official title is Owner and has the following contact phone number (701) 893-3419.

The enumeration date for this NPI number is 10/12/2012 and was last updated on 10/12/2012.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1103TC2200XPsychologistClinical Child & Adolescent295NORTH DAKOTAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
111062MEDICAIDNORTH DAKOTA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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