Paul W Schenk Psyd Pc | |
3589 Habersham At Northlake Tucker GA 30084-4009 | |
(770) 939-4473 | |
(770) 939-0033 |
Full Name | Paul W Schenk Psyd Pc |
---|---|
Speciality | Psychologist |
Location | 3589 Habersham At Northlake, Tucker, Georgia |
Authorized Official Name and Position | Paul W. Schenk (PRESIDENT) |
Authorized Official Contact | 7709394473 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
---|---|
Paul W Schenk Psyd Pc 3589 Habersham At Northlake Tucker GA 30084-4009 Ph: (770) 939-4473 | Paul W Schenk Psyd Pc 3589 Habersham At Northlake Tucker GA 30084-4009 Ph: (770) 939-4473 |
NPI Number | 1225248362 |
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Provider Enumeration Date | 05/23/2007 |
Last Update Date | 11/16/2011 |
Medicare PECOS PAC ID | 5092989830 |
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Medicare Enrollment ID | O20111114000399 |
Identifier | Type | State | Issuer |
---|---|---|---|
1225248362 | NPI | - | NPPES |
000187954A | Medicaid | GA |
Provider Name | Paul W Schenk |
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Provider Type | Practitioner - Clinical Psychologist |
Provider Identifiers | NPI Number: 1831171065 PECOS PAC ID: 4981878725 Enrollment ID: I20111130000550 |
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