| Shinedling And Shinedling Pllc | |
|
1795 N Snow Canyon Pkwy Unit 36 St George UT 84770-5851 | |
| (435) 275-2087 | |
| Not Available |
| Full Name | Shinedling And Shinedling Pllc |
|---|---|
| Speciality | Clinic/Center |
| Location | 1795 N Snow Canyon Pkwy, St George, Utah |
| Authorized Official Name and Position | Martin M Shinedling (PSYCHOLOGIST) |
| Authorized Official Contact | 4352752087 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Shinedling And Shinedling Pllc 1795 N Snow Canyon Pkwy Unit 36 St George UT 84770-5851 Ph: (435) 275-2087 | Shinedling And Shinedling Pllc 1795 N Snow Canyon Pkwy Unit 36 St George UT 84770-5851 Ph: (435) 275-2087 |
| NPI Number | 1609106426 |
|---|---|
| Provider Enumeration Date | 12/29/2009 |
| Last Update Date | 12/29/2009 |
| Medicare PECOS PAC ID | 0244375525 |
|---|---|
| Medicare Enrollment ID | O20100311000359 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1609106426 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | 6906880-2501 (Utah) | Primary |
| Provider Name | Teresa C Shinedling |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1639134521 PECOS PAC ID: 6406033620 Enrollment ID: I20110615000390 |
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