Individual
NANCY J SHOOK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PH.D., HSPP
Contact information
Practice address
500 W NAVAJO ST, WEST LAFAYETTE BRA, IN 47906-1999
(765) 464-1510
(765) 464-8361
Mailing address
4342 BLACK FOREST LN, WEST LAFAYETTE BRA, IN 47906-5249
(765) 446-1251
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
20041541A
IN
Other
Enumeration date
10/04/2006
Last updated
07/08/2007
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