Individual
JOHN SHOVLIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.A.
Contact information
Practice address
676 WYOMING AVE, KINGSTON, PA 18704-3857
(570) 283-1600
(570) 283-5515
Mailing address
676 WYOMING AVE, KINGSTON, PA 18704-3857
(570) 283-1600
(570) 283-5515
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
PS006992L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
077885
FIRST PRIORITY HEALTH #
PA
01
—
62-74070
UNITED HEALTHCARE #
PA
01
—
SH550347
BLUE CROSS #
PA
Enumeration date
09/15/2006
Last updated
07/08/2007
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