Individual
MR. DAVID ALLEN SHADD II
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LPP
Contact information
Practice address
360 W LOUDON AVE, LEXINGTON, KY 40508-3729
(859) 252-7881
(859) 255-0749
Mailing address
360 W LOUDON AVE, LEXINGTON, KY 40508-3729
(859) 229-8543
(859) 255-0749
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
KY-115960
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7100538530
—
KY
Enumeration date
02/09/2007
Last updated
03/04/2026
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