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NPI Code Detail

MEDICARE: DR. JAMES FRANCIS SHIELDS PSY.D

MEDICARE:  DR. JAMES FRANCIS SHIELDS  PSY.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
1103T00000XPsychologist897KY

General Provider Information

NPI Number : 1710982111
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. JAMES FRANCIS SHIELDS PSY.D
Provider Business Mailing Address
First Line : 8141 NEW LAGRANGE RD
Second Line :
City : LOUISVILLE
State : KY
Zip : 40222-4682
Country : US
Telephone Number : 502-423-7222
Fax Number : 502-423-7277
Provider Business Practice Location Address
First Line : 8141 NEW LAGRANGE RD
Second Line :
City : LOUISVILLE
State : KY
Zip : 40222-4682
Country : US
Telephone Number : 502-423-7222
Fax Number : 502-423-7277
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/14/2005
Last Update Date : 07/08/2007

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Directions to “ DR. JAMES FRANCIS SHIELDS PSY.D” Practice Location

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