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DR. WILLIAM SHORE NPI 1487650404


NPI Information

NPI: 1487650404
Provider Name: DR. WILLIAM SHORE
Classification: Psychologist - 103T00000X
Entity Type: Individual
Address:
3720 FARRAGUT AVE
STE 103
KENSINGTON, MD
ZIP 20895
Phone: (301) 934-8811
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DR. William Shore is a psychologist in Kensington, MD. The provider is 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 adjustment, personal effectiveness, behavioral health, and mental health. The practice of psychology includes, but is not limited to, psychological testing and the evaluation or assessment of personal characteristics, such as intelligence, personality, abilities, interests, aptitudes, and neuropsychological functioning; counseling, psychoanalysis, psychotherapy, hypnosis, biofeedback, and behavior analysis and therapy; diagnosis and treatment of mental and emotional disorder or disability, alcoholism and substance abuse, disorders of habit or conduct, as well as of the psychological aspects of physical illness, accident, injury, or disability; and psycheducational evaluation, therapy, remediation, and consultation. Psychological services may be rendered to individuals, families, groups and the public. DR. William Shore NPI is 1487650404. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

3720 FARRAGUT AVE
STE 103
KENSINGTON, MD
ZIP 20895-110
Phone: (301) 934-8811
Fax: (301) 934-9321

The enumeration date for this NPI number is 6/23/2005 and was last updated on 7/9/2007.


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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1103T00000XPsychologist2282MARYLANDYes

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 Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1H1630001OTHERDISTRICT OF COLUMBIABLUE CROSS
2412350OTHERMARYLANDMAMSI/ALLIANCE
3659262MEDICARE ID-TYPE UNSPECIFIEDDISTRICT OF COLUMBIATRAILBLAZER
4001089OTHERMARYLANDVALUE OPTIONS
552475204OTHERMARYLANDBLUE CROSS
6R24746MEDICARE UPINMARYLAND
72282OTHERMARYLANDKAISER

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: 5/5/2024

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