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Search › Connecticut › 103T00000X

David Shack

NPI 1811942402 · on the registry since 2006

Practice

Address
270 Farmington Ave
Suite 309
Farmington, CT 06032
Phone
(860) 677-5570
Organisation at this address
The Leona Corp
James F. Brodey
Dialysis Clinic Inc.
Sirona Counseling Llc
Jennie Song, Psy.D., Llc
Inferred from a shared address, not stated in the registry.
Clinicians at this address
137

Registry record

Primary taxonomy
103T00000X
103T00000X
Licence states on file
CT
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2026-07-13

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 Connecticut