Individual
DR. JOHN MORTON SHROAD JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
14090 MANSFIELD RD, ATHENS, OH 45701-9447
(740) 592-6670
(740) 594-2823
Mailing address
14090 MANSFIELD RD, ATHENS, OH 45701-9447
(740) 592-6670
(740) 594-2823
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
2820
OH
Other
Enumeration date
11/29/2006
Last updated
07/08/2007
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