| G D Shoenberger, Inc. | |
|
636 Lander St Reno NV 89509-1512 | |
| (775) 448-6828 | |
| (877) 304-7727 |
| Full Name | G D Shoenberger, Inc. |
|---|---|
| Speciality | Psychologist |
| Location | 636 Lander St, Reno, Nevada |
| Authorized Official Name and Position | George Deacon Shoenberger (OWNER) |
| Authorized Official Contact | 7752199596 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| G D Shoenberger, Inc. 377 Caliente St Reno NV 89509-2729 Ph: (775) 448-6828 | G D Shoenberger, Inc. 636 Lander St Reno NV 89509-1512 Ph: (775) 448-6828 |
| NPI Number | 1487999579 |
|---|---|
| Provider Enumeration Date | 11/30/2012 |
| Last Update Date | 02/27/2013 |
| Medicare PECOS PAC ID | 9931352788 |
|---|---|
| Medicare Enrollment ID | O20130104000104 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1487999579 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | PY0569 (Nevada) | Primary |
| Provider Name | George Deacon Shoenberger |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1003065921 PECOS PAC ID: 5395998140 Enrollment ID: I20130104000115 |
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