Individual
DR. WILLIAM SHORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
3720 FARRAGUT AVE, STE 103, KENSINGTON, MD 20895-2110
(301) 934-8811
(301) 934-9321
Mailing address
3720 FARRAGUT AVE, STE 103, KENSINGTON, MD 20895-2110
(301) 934-8811
(301) 934-9321
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
2282
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
001089
VALUE OPTIONS
MD
01
—
2282
KAISER
MD
05
—
254102500
—
MD
01
—
412350
MAMSI/ALLIANCE
MD
01
—
458821000
MAGELLAN
MD
01
—
52475204
BLUE CROSS
MD
01
—
H1630001
BLUE CROSS
DC
Enumeration date
06/23/2005
Last updated
07/09/2007
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