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NPI Code Detail

MEDICARE: DR. SHAMA BETH CHAIKEN PH.D.

MEDICARE:  DR. SHAMA BETH CHAIKEN  PH.D.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1103TC0700XClinical PsychologistPSY14901CA

General Provider Information

NPI Number : 1003042763
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. SHAMA BETH CHAIKEN PH.D.
Provider Business Mailing Address
First Line : 5103 CLARION CT
Second Line :
City : PLACERVILLE
State : CA
Zip : 95667-8668
Country : US
Telephone Number : 530-957-4852
Fax Number : 530-957-4852
Provider Business Practice Location Address
First Line : 3330 HEIGHTS DR STE 120
Second Line :
City : CAMERON PARK
State : CA
Zip : 95682-7769
Country : US
Telephone Number : 530-677-4404
Fax Number : 530-677-4545
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/08/2009
Last Update Date : 05/01/2018

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Directions to “ DR. SHAMA BETH CHAIKEN PH.D.” Practice Location

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