Organization
SHOOK CONSULTING CO.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CHRISTINA BERCHOCK SHOOK PSYD (MEMBER)
(570) 701-7212
Entity
Organization
Contact information
Practice address
260 REITZ BLVD STE 1-D, LEWISBURG, PA 17837-9220
(570) 701-7212
Mailing address
594 NORTHEAST DR, MILTON, PA 17847-8446
(570) 701-7212
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
—
—
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
103215619
—
PA
Enumeration date
04/17/2019
Last updated
09/10/2019
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