Julie Shin, is a
Psychologist - Clinical based in Fort Benning, Georgia. Julie Shin is licensed to practice in Washington (license number PY60155490) and her current practice location is
6600 Van Aalst Blvd, Fort Benning, Georgia. She can be reached at her office (for appointments etc.) via phone at
(650) 279-2717.
NPI number for Julie Shin is 1720288202 and her current mailing address is 486 Abberly Ln, Ellerslie, Georgia. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1720288202.
Healthcare Provider's Profile
| Full Name | Julie Shin |
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| Gender | Female |
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| Speciality | Psychologist - Clinical |
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| Location | 6600 Van Aalst Blvd, Fort Benning, Georgia |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1720288202
- Provider Enumeration Date: 07/23/2007
- Last Update Date: 06/22/2022
Medical Identifiers
Medical identifiers for Julie Shin such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1720288202 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 101Y00000X | Counselor | (* (Not Available)) | Secondary |
| 103TC0700X | Psychologist - Clinical | PY60155490 (Washington) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Julie Shin is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Julie Shin,
486 Abberly Ln,
Ellerslie, GA 31807-5479
Ph: () - | Julie Shin,
6600 Van Aalst Blvd,
Fort Benning, GA 31905-2102
Ph: (650) 279-2717 |
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