RICHARD E. SHOOK, PH.D., P.C.


Address: 127 Cherry Street, Marietta, GA 30060
Phone: 7705140111

RICHARD E. SHOOK, PH.D., P.C. (NPI# 1588876221) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1588876221
Entity Type Organization
Organization Name RICHARD E. SHOOK, PH.D., P.C.
Practice Address 127 Cherry Street
Marietta
GA 30060
Practice Telephone 7705140111
Enumeration Date 2007-05-04
Last Update Date 2020-08-22
Authorized Official Name DR. RICHARD SHOOK (LICENSED PSYCHOLOGIST)
Authorized Official Telephone 7705140111
Authorized Official Credential PH.D., P.C.
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 103TC0700X Psychologist
Specialization: Clinical
PSY1908 GA Behavioral Health & Social Service Providers

Other Provider Identifier

State Issuer Identifier Type Code
GA 00577607A 05

Office Location

Street Address 127 CHERRY STREET
City MARIETTA
State GA
Zip Code 30060

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1922640739 Jeremiah George Blair Physician Assistant 61 Whitcher St Suite 2100, Marietta, GA 30060 2019-10-14
1164064945 Denise Alicia Mick Registered Nurse 677 Church St Wellstar Kennestone Hospital, Marietta, GA 30060 2019-10-12
1184283772 Iora Health Georgia, P.C. Internal Medicine 280 Cobb Pkwy Se, Suite 60, Marietta, GA 30060 2019-06-07
1346703212 Caitlin Virginia Mueller Student in an Organized Health Care Education/Training Program 677 Church Street Ne, Attn: Gme, Marietta, GA 30060 2019-04-08
1184187205 Adero Francis Student in an Organized Health Care Education/Training Program Wellstar Kennestone Gme Internal Medicine Clinic, 833 Campbell Hill St Nw, Suite 250, Marietta, GA 30060 2019-04-08
1659832749 Matthew Mozzo Student in an Organized Health Care Education/Training Program 677 Church Street / Lower Level, Gme Department / I.m., Marietta, GA 30060 2019-03-29
1245797430 La'myia Spentz Specialist 109 Anderson St Ne, Suite 608, Marietta, GA 30060 2019-02-25
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Taxonomy Information

Taxonomy Code 103TC0700X
Grouping Behavioral Health & Social Service Providers
Classification Psychologist
Specialization Clinical

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
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1053812537 Carmen Julia Neyra Psychologist 4939 Lower Roswell Rd Bldg C, Marietta, GA 30068-4338 2018-02-21
1467903609 Alesya Korey Psychologist 821 Devonwood Trl Nw, Marietta, GA 30064-5439 2016-10-24
1174953780 Marietta Associated Psychological Services Inc Psychologist 2501 E Piedmont Rd Ste 147, Marietta, GA 30062-7754 2013-11-18
1902248024 Kavita Joshi Subrahmanian Psychologist 1778 Millhouse Run, Marietta, GA 30066-8012 2013-07-18
1154688877 Terry A Crump Psychologist 134 Powers Ferry Rd Se Ste B, Marietta, GA 30067-7589 2012-04-19
1710126461 Susan Sevier Buffington Psychologist 4608 Lower Roswell Rd, Marietta, GA 30068-4237 2009-02-19
1962655324 Kenneth C Molkner Md PC Psychologist 2501 Windy Hill Rd Se, Suite 245, Marietta, GA 30067-8663 2008-10-29
1205044278 Lisa Rubin Psychologist 282 Village Pkwy Ne, Marietta, GA 30067-4062 2007-05-21
1104960715 Mark Manfred Roland Psychologist 21 Trammel St. Sw, Psychological Consultants of Marietta PC, Marietta, GA 30064-3249 2007-02-16
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Competitor

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City MARIETTA
Zip Code 30060

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Dataset Information

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.

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