Mr David Allen Shadd Ii, LPP is a
Psychologist based in Cynthiana, Kentucky. Mr David Allen Shadd Ii is licensed to practice in Kentucky (license number KY-0110) and his current practice location is
111 North Main St., Cynthiana, Kentucky. He can be reached at his office (for appointments etc.) via phone at
(859) 235-0800.
NPI number for Mr David Allen Shadd Ii is 1376684571 and his current mailing address is 112 Percy Place, Georgetown, Kentucky. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1376684571.
Healthcare Provider's Profile
Full Name | Mr David Allen Shadd Ii |
---|
Gender | Male |
---|
Speciality | Psychologist |
---|
Location | 111 North Main St., Cynthiana, Kentucky |
---|
Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
NPI Data:
- NPI Number: 1376684571
- Provider Enumeration Date: 02/09/2007
- Last Update Date: 12/29/2014
Medical Identifiers
Medical identifiers for Mr David Allen Shadd Ii such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1376684571 | NPI | - | NPPES |
30615058 | Medicaid | KY | |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
103T00000X | Psychologist | 2004-72 (Kentucky) | Secondary |
103T00000X | Psychologist | KY-0110 (Kentucky) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Mr David Allen Shadd Ii is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Mr David Allen Shadd Ii, LPP 112 Percy Place, Georgetown, KY 40324 Ph: (859) 229-8543 | Mr David Allen Shadd Ii, LPP 111 North Main St., Cynthiana, KY 41031 Ph: (859) 235-0800 |
Reviews and Comments