SHELLY LIAROS (NPI# 1780299461) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1780299461 |
| Entity Type | Individual |
| Full Name | SHELLY LIAROS |
| Credential | ED.S., NCSP |
| Practice Address |
405 Grafton Dr Yorktown VA 23692-2155 |
| Mailing Address |
302 Dare Rd Yorktown VA 23692-2716 |
| Practice Telephone | 7575974818 |
| Mailing Telephone | 7575974818 |
| Enumeration Date | 2020-09-10 |
| Last Update Date | 2020-09-10 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TS0200X |
Psychologist Specialization: School |
0803000173 | VA | Behavioral Health & Social Service Providers |
| Street Address |
405 GRAFTON DR |
| City | YORKTOWN |
| State | VA |
| Zip Code | 23692-2155 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114400884 | Mary Amanda Gray | Dietitian, Registered | 5306 Old Virginia Street, Urbanna, VA 23692 | 2018-09-10 |
| 1932687142 | Janice Stewart | Counselor | 3804 George Washington Mem Hwy, Yorktown, VA 23692 | 2018-07-31 |
| 1679063523 | Heritage Pharmacy LLC | Pharmacy | 5922b George Washington Mem Hwy, Yorktown, VA 23692 | 2018-05-16 |
| 1437655461 | Kroger Limited Partnership I | Durable Medical Equipment & Medical Supplies | 6500 George Washington Mem Hwy Ste C, Grafton, VA 23692 | 2018-03-30 |
| 1730571985 | Sentara Medical Group | Internal Medicine | 100 Enterprise Dr, Yorktown, VA 23692 | 2015-02-25 |
| 1427392315 | Anna Katherina Ristow | Specialist/Technologist | 9300 George Washington Ave, Yorktown, VA 23692 | 2012-11-16 |
| 1225340714 | Jamie Banuski | Voluntary or Charitable | 7307 George Washington Mem Hwy, Pmb511, Yorktown, VA 23692 | 2010-07-13 |
| 1174719793 | Grafton Smile Care | Clinic/Center | 4030 - A George Washington Hwy, Grafton, VA 23692 | 2007-09-18 |
| 1497949713 | Sayward E. Duggan Dds Ms PC | Clinic/Center | 4310 George Washington Memorial Highway, Yorktown, VA 23692 | 2007-08-29 |
| 1679691307 | Carol A. Pittman | Dentist | 4310 George Washington Hwy, Yorktown, VA 23692 | 2007-03-27 |
| Find all providers in zip 23692 | ||||
| Taxonomy Code | 103TS0200X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | School |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558851857 | Kara Yagle | Psychologist | 302 Dare Rd, Yorktown, VA 23692-2716 | 2018-05-14 |
| 1962900340 | Riley Juliette Higgins | Psychologist | 302 Dare Rd, Yorktown, VA 23692-2716 | 2018-01-31 |
| 1144728866 | Jacquelyn Sandra Drumov | Psychologist | 302 Dare Rd, Yorktown, VA 23692-2716 | 2018-01-28 |
| 1700384591 | Erica Michele Leggette | Psychologist | 302 Dare Rd, Yorktown, VA 23692-2716 | 2018-01-26 |
| 1376041483 | Elizabeth Lasris | Psychologist | 302 Dare Rd, Yorktown, VA 23692-2716 | 2018-01-24 |
| 1952809139 | Analisa Wellington | Psychologist | 302 Dare Rd, Yorktown, VA 23692-2716 | 2018-01-23 |
| 1174038194 | Kammie Lee | Psychologist | 302 Dare Rd, Yorktown, VA 23692-2716 | 2017-12-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609480953 | Laura Taylor | Psychologist | 8270 Willow Oaks Corporate Dr Ste 3014, Fairfax, VA 22031-4530 | 2020-09-03 |
| 1346853165 | Laura Meghan O'malley | Psychologist | 300 Apollo Ave, Danville, VA 24540-4227 | 2020-08-31 |
| 1205449477 | Perry Camp Jr. | Psychologist | 4403 Dixie Hill Rd, Unit 205, Fairfax, VA 22030 | 2020-08-28 |
| 1922611169 | Caroline Faith Dewerd | Psychologist | 4638 Battenburg Ln, Fairfax, VA 22030-6267 | 2020-08-27 |
| 1205467891 | Jennifer Molepske | Psychologist | 430 E Shirley Ave Ste B2, Warrenton, VA 20186-3725 | 2020-01-31 |
| 1811538077 | Brittany Lee Gill | Psychologist | 3005 Clarke Dr, Virginia Beach, VA 23456-7919 | 2019-09-30 |
| 1467002915 | Michelyn Cynthia Kemp | Psychologist | 4656 Noland Blvd, Williamsburg, VA 23188-7587 | 2019-09-17 |
| 1851948830 | Kyle Jacob Maziarski | Psychologist | 100 Panther Dr, Fredericksburg, VA 22406-7473 | 2019-08-23 |
| 1093361024 | Alexis Rae Carson | Psychologist | 84 Dr Lorraine C. Turner Dr. Russell County Public Scho, Lebanon, VA 24266 | 2019-08-15 |
| 1265088538 | Hugh Love Wade IIi | Psychologist | 2055 Courthouse Road, Mnes/ School Psyc. Office, Louisa, VA 23093 | 2019-08-13 |
| Find all providers with the same taxonomy | ||||
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| 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.