Organization
RICHARD E. SHOOK, PH.D., P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RICHARD SHOOK PH.D., P.C. (LICENSED PSYCHOLOGIST)
(770) 514-0111
Entity
Organization
Contact information
Practice address
127 CHERRY STREET, MARIETTA, GA 30060
(770) 514-0111
Mailing address
127 CHERRY STREET, MARIETTA, GA 30060
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
PSY1908
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00577607A
—
GA
Enumeration date
05/04/2007
Last updated
08/22/2020
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