DANTE SANDLIN SHAW (NPI# 1841366630) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1841366630 |
| Entity Type | Individual |
| Full Name | DANTE SANDLIN SHAW |
| Credential | PH.D. |
| Practice Address |
750 Longleaf Blvd Suite D Lawrenceville GA 30045-8459 |
| Mailing Address |
2120 Laurel Lake Dr Suwanee GA 30024-4317 |
| Practice Telephone | 4045564226 |
| Practice Fax Number | 7709637490 |
| Mailing Telephone | 4045564226 |
| Mailing Fax Number | 7709637490 |
| Enumeration Date | 2006-11-26 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TC0700X |
Psychologist Specialization: Clinical |
0001314 | GA | Behavioral Health & Social Service Providers |
| Street Address |
750 LONGLEAF BLVD SUITE D |
| City | LAWRENCEVILLE |
| State | GA |
| Zip Code | 30045-8459 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952800864 | Trevor T Knight | Counselor | 750 Longleaf Blvd, Lawrenceville, GA 30046-8459 | 2018-02-06 |
| 1346598174 | A. Luke Lukens Lcsw Corporation | Clinic/Center | 750 Longleaf Blvd, Suite C, Lawrenceville, GA 30046-8459 | 2012-08-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285104315 | Shalanda Monique Booker | Counselor | 2940 Emerald Springs Drive, Lawrenceville, GA 30045 | 2018-12-02 |
| 1669957320 | Chantelle S Fuller | Behavioral Analyst | 805 Donington Cir, Lawrenceville, GA 30045 | 2018-09-28 |
| 1356836035 | Gad Health Care LLC | Home Health | 1140 Great Oaks Dr, Lawrenceville, GA 30045 | 2018-06-26 |
| 1346668662 | Eca Optical, LLC | Eyewear Supplier (Equipment, not the service) | 601-a Professional Drive, Ste 170, Lawrenceville, GA 30045 | 2014-04-03 |
| 1598102733 | Selena Fuller | Nurse Practitioner | 181 South Clayton Street, Lawrenceville, GA 30045 | 2013-05-29 |
| 1942555982 | Vida Michele James-bryant | Community Health Worker | 1309 Avington Glen Dr, Lawrenceville, GA 30045 | 2012-07-16 |
| 1770840639 | Rebecca Vinson D'angelo | Occupational Therapist | 1518 Great Shoals Cir, Lawrenceville, GA 30045 | 2012-04-17 |
| 1427346774 | Amanda Michelel Woods | Psychologist | 285 South Perry Street, Lawrenceville, GA 30045 | 2011-07-20 |
| 1790070563 | M & G Pharmacy Inc | Pharmacy | 100 Hurricane Shoals Rd Suite F, Lawrenceville, GA 30045 | 2011-06-09 |
| 1306146154 | Thanh Dau | Optometrist | 1250 Scenic Highway, Ste 1268, Lawrenceville, GA 30045 | 2010-10-27 |
| Find all providers in zip 30045 | ||||
| Taxonomy Code | 103TC0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Clinical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659980944 | Lisa Spatafore | Psychologist | 2083 Lawrence Rd, Lawrenceville, NJ 08648-3001 | 2020-07-23 |
| 1790319549 | Thaddeus Reecesiri Reece | Psychologist | 771 Tulip Poplar Way, Lawrenceville, GA 30044-8819 | 2020-03-02 |
| 1740540798 | William Dundon | Psychologist | 28204 Cherry Blossom Ct, Lawrenceville, NJ 08648-1288 | 2012-05-24 |
| 1427346774 | Amanda Michelel Woods | Psychologist | 285 South Perry Street, Lawrenceville, GA 30045 | 2011-07-20 |
| 1639343221 | Drm Consulting Services, Inc | Psychologist | 485 S Perry St Ste D, Lawrenceville, GA 30045-4951 | 2008-04-15 |
| 1093909822 | Lon Maletta | Psychologist | 66 Lawrenceville Penning Rd, Lawrenceville, NJ 08648-1651 | 2007-09-05 |
| 1780896845 | Karen A. Dean, Ph.d., P.C. | Psychologist | 1805 Herrington Road, Building 2, Lawrenceville, GA 30043 | 2007-05-03 |
| 1861511800 | Robert E. Fisher | Psychologist | 1147 Planters Rd, Lawrenceville, VA 23868-3345 | 2007-03-29 |
| 1548395031 | Mary Elizabeth Gordon | Psychologist | 285 South Perry St, Lawrenceville, GA 30045 | 2007-02-23 |
| 1912059726 | Lawrence K Straus | Psychologist | 993 Lenox Dr, Suite 200, Lawrenceville, NJ 08648-2316 | 2007-01-18 |
| Find all providers in LAWRENCEVILLE | ||||
| City | LAWRENCEVILLE |
| Zip Code | 30045 |
Please comment or provide details below to improve the information on DANTE SANDLIN SHAW.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.