| Richard E. Shook, Ph.d., P.c. | |
|
127 Cherry Street Marietta GA 30060 | |
| (770) 514-0111 | |
| Not Available |
| Full Name | Richard E. Shook, Ph.d., P.c. |
|---|---|
| Speciality | Psychologist |
| Location | 127 Cherry Street, Marietta, Georgia |
| Authorized Official Name and Position | Richard Shook (LICENSED PSYCHOLOGIST) |
| Authorized Official Contact | 7705140111 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Richard E. Shook, Ph.d., P.c. 127 Cherry Street Marietta GA 30060 Ph: () - | Richard E. Shook, Ph.d., P.c. 127 Cherry Street Marietta GA 30060 Ph: (770) 514-0111 |
| NPI Number | 1588876221 |
|---|---|
| Provider Enumeration Date | 05/04/2007 |
| Last Update Date | 08/22/2020 |
| Medicare PECOS PAC ID | 0648572354 |
|---|---|
| Medicare Enrollment ID | O20160112000900 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1588876221 | NPI | - | NPPES |
| 00577607A | Medicaid | GA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | PSY1908 (Georgia) | Primary |
| Provider Name | Richard E Shook |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1831252220 PECOS PAC ID: 6901108646 Enrollment ID: I20160112001851 |
Mt. Bethel Shepherd Center Inc. Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 4608 Lower Roswell Rd, Marietta, GA 30068 Phone: 678-571-5119 | |
Warnecke Professional Counseling, Pc Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 2050 Roswell Rd, Marietta, GA 30062 Phone: 678-252-6115 Fax: 678-399-1678 | |
Powell Psychological Associates Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 2501 E Piedmont Rd, Suite 200, Pmb 5, Marietta, GA 30062 Phone: 404-403-6177 Fax: 404-393-6460 | |
Prime Behavior Analysts, Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 376 Powder Springs St, Suite 130, Marietta, GA 30064 Phone: 404-695-3596 Fax: 404-935-5335 | |
Divine Psychology, Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 4343 Shallowford Rd Ste G3, Marietta, GA 30062 Phone: 678-626-7207 | |
Tolleson Counseling & Consulting, Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1640 Powers Ferry Rd Se Bldg 9-350, Marietta, GA 30067 Phone: 470-684-0428 | |
Neurotherapy Associates, Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 540 Powder Springs St Ste E31, Marietta, GA 30064 Phone: 470-217-7324 |