Organization
JOHN P SHALLCROSS, PSY.D., P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOHN POST SHALLCROSS PSY.D. (PRESIDENT)
(770) 663-0923
Entity
Organization
Contact information
Practice address
11755 POINTE PL, ROSWELL, GA 30076-4656
(770) 663-0923
(770) 663-6256
Mailing address
1660 HIGHGROVE CLUB DR, ALPHARETTA, GA 30004-6983
(770) 663-0923
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
001666
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00695912B
—
GA
Enumeration date
04/20/2011
Last updated
04/20/2011
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