Mr David A Shade, MS, LPE-I in Jonesboro, AR - Psychologist

Mr David A Shade, MS, LPE-I is a Psychologist based in Jonesboro, Arkansas. Mr David A Shade is licensed to practice in Arkansas (license number 83-13EI) and his current practice location is 1815 Pleasant Grove Rd, Jonesboro, Arkansas. He can be reached at his office (for appointments etc.) via phone at (870) 933-6886.

NPI number for Mr David A Shade is 1083761464 and his current mailing address is 1815 Pleasant Grove Rd, Jonesboro, Arkansas. He does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1083761464.

Contact Information

	Mr David A Shade, MS, LPE-I
	1815 Pleasant Grove Rd, Jonesboro, AR 72401-7870
	(870) 933-6886
	(870) 933-9395

Healthcare Provider's Profile

Full Name	Mr David A Shade
Gender	Male
Speciality	Psychologist
Location	1815 Pleasant Grove Rd, Jonesboro, Arkansas
Accepts Medicare Assignments	Does not participate in Medicare Program. He may not accept medicare assignment.

NPI Data:

NPI Number: 1083761464
Provider Enumeration Date: 01/05/2007
Last Update Date: 11/02/2016

Medical Identifiers

Medical identifiers for Mr David A Shade such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1083761464	NPI	-	NPPES
198883795	Medicaid	AR
5A020	Other	AR	BCBS

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
103T00000X	Psychologist	83-13EI (Arkansas)	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 A Shade 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 A Shade, MS, LPE-I 1815 Pleasant Grove Rd, Jonesboro, AR 72401-7870 Ph: (870) 933-6886	Mr David A Shade, MS, LPE-I 1815 Pleasant Grove Rd, Jonesboro, AR 72401-7870 Ph: (870) 933-6886

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Psychologist in Jonesboro, AR

Dr. Marilyn L Porter, PHD Psychologist Medicare: Not Enrolled in Medicare Practice Location: 2707 Browns Lane, Jonesboro, AR 72401 Phone: 870-972-4939 Fax: 870-972-4911
Mary Bryant, LPE Psychologist Medicare: Not Enrolled in Medicare Practice Location: 1217 Stone St, Jonesboro, AR 72401 Phone: 870-972-1268
M Elizabeth Huffstutter, PSY.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 1900 Stillwater Dr, Jonesboro, AR 72404 Phone: 870-932-3600 Fax: 870-932-3611
Dr. Meagan Medley, LP, NCSP Psychologist Medicare: Not Enrolled in Medicare Practice Location: 3420 Western Gales Dr, Jonesboro, AR 72405 Phone: 504-812-6665
Olimpia Rosario, MD Psychologist Medicare: Accepting Medicare Assignments Practice Location: 1815 Pleasant Grove Rd., Jonesboro, AR 72404 Phone: 870-933-6886
Margaret B Rector, PH.D Psychologist Medicare: Accepting Medicare Assignments Practice Location: 2707 Browns Ln, Jonesboro, AR 72401 Phone: 870-972-4939 Fax: 870-972-4911

Mr David A Shade, MS, LPE-I - Psychologist in Jonesboro, AR