Organization
ANCHOR PSYCHOLOGY CENTER, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RUTH M SHOEMAKER, PHD PHD (PRINCIPLE)
(228) 875-1590
Entity
Organization
Contact information
Practice address
2112 BIENVILLE BLVD STE J, OCEAN SPRINGS, MS 39564-3067
(228) 875-1590
(228) 875-1591
Mailing address
2112 BIENVILLE BLVD STE J, OCEAN SPRINGS, MS 39564-3067
(228) 875-1590
(228) 875-1591
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
1728
MS
101YP2500X
Professional Counselor
1977
MS
103T00000X
Psychologist
Primary
46-802
MS
103T00000X
Psychologist
53938
MS
106H00000X
Marriage & Family Therapist
T0437
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
03950571
—
MS
01
—
512I680027
MEDICARE PTAN
MS
Enumeration date
03/11/2013
Last updated
01/05/2016
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