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CARITA R SHAWCHUCK PHD PC NPI 1871650267


NPI Information

NPI: 1871650267
Provider Name: CARITA R SHAWCHUCK PHD PC
Classification: Psychologist - 103TC2200X
Entity Type: Organization

Specialization: Clinical Child & Adolescent

Address:
1351 PAGE DR S
SUITE 105
FARGO, ND
ZIP 58103
Phone: (701) 893-3419
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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 1871650267. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

1351 PAGE DR S
SUITE 105
FARGO, ND
ZIP 58103-502
Phone: (701) 893-3419
Fax: (701) 356-8801

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

The enumeration date for this NPI number is 1/3/2007 and was last updated on 12/12/2007.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1103TC2200XPsychologistClinical Child & AdolescentYes

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
106753001OTHERNORTH DAKOTAND BLUE SHIELD
286G13SHOTHERMINNESOTAMN BLUE SHEILD

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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