DR. SHANEQUIA DESHAWN CLEMONS NPI 1831605765

NPI Information

NPI: 1831605765
Provider Name: DR. SHANEQUIA DESHAWN CLEMONS
Classification: Rehabilitation Practitioner - 225400000X
Entity Type: Individual
Address:
2180 REESE ST
LACKLAND AFB, TX
ZIP 78236
Phone: (305) 912-3482
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DR. Shanequia Deshawn Clemons is a rehabilitation practitioner in Lackland Afb, TX. The provider is a health care practitioner who trains or retrains individuals disabled by disease or injury to help them attain their maximum functional capacity. DR. Shanequia Deshawn Clemons NPI is 1831605765. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

2180 REESE ST
LACKLAND AFB, TX
ZIP 78236-042
Phone: (305) 912-3482

The enumeration date for this NPI number is 12/14/2017 and was last updated on 11/23/2022.

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	License State	Primary
1	103K00000X	Behavior Analyst	TEXAS	No
2	175T00000X	Peer Specialist	TEXAS	No
3	374K00000X	Religious Nonmedical Practitioner	TEXAS	No
4	225400000X	Rehabilitation Practitioner	TEXAS	Yes

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

NPI Synchronization or Removal

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