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Search › California › 1041C0700X

Roy Shackel, MSW, ASW

NPI 1649778754 · on the registry since 2018

Practice

Address
2101 Alexian Dr Ste 110
San Jose, CA 95116
Phone
(408) 272-6527
Fax
(408) 272-6569
Organisation at this address
Dads-Evtr
Santa Clara County
County Of Santa Clara
County Of Santa Clara
County Of Santa Clara
Inferred from a shared address, not stated in the registry.
Clinicians at this address
43

Registry record

Primary taxonomy
1041C0700X
1041C0700X
Licence states on file
CA
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2018-01-24

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in California