MEDICARE: DR. CAROL A. SHEFFIELD 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
1	103T00000X	Psychologist	2-2058	TX

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1154319515
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. CAROL A. SHEFFIELD PH.D.

Provider Business Mailing Address
First Line	:	P.O. BOX 6164
Second Line	:
City	:	FRISCO
State	:	TX
Zip	:	75035
Country	:	US
Telephone Number	:	972-841-0629
Fax Number	:	972-596-8823

Provider Business Practice Location Address
First Line	:	5923 ROYAL LANE
Second Line	:
City	:	DALLAS
State	:	TX
Zip	:	75230
Country	:	US
Telephone Number	:	972-841-0629
Fax Number	:	972-596-8823

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	10/10/2005
Last Update Date	:	08/30/2011

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