Provider Demographics
NPI:1932220647
Name:SHINGLETON, DAVIS HALL (MD)
Entity Type:Individual
Prefix:DR
First Name:DAVIS
Middle Name:HALL
Last Name:SHINGLETON
Suffix:
Gender:M
Credentials:MD
Other - Prefix:DR
Other - First Name:DAVIS
Other - Middle Name:
Other - Last Name:SHINGLETON
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:MD
Mailing Address - Street 1:103 LONGWOOD RD
Mailing Address - Street 2:
Mailing Address - City:BALTIMORE
Mailing Address - State:MD
Mailing Address - Zip Code:21210-2119
Mailing Address - Country:US
Mailing Address - Phone:410-262-8162
Mailing Address - Fax:
Practice Address - Street 1:12039 REISTERSTOWN RD
Practice Address - Street 2:
Practice Address - City:REISTERSTOWN
Practice Address - State:MD
Practice Address - Zip Code:21136-3042
Practice Address - Country:US
Practice Address - Phone:410-526-5000
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-04-02
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDD468752084P0804X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0804XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyChild & Adolescent Psychiatry