George Wiley Shorter Iii, PH D - Psychologist in Lake City, FL

George Wiley Shorter Iii, PH D is a Psychologist - Clinical based in Lake City, Florida. George Wiley Shorter Iii is licensed to practice in Alabama (license number 1244) and his current practice location is Vamc - Unit 9 - 116b, 619 S. Marion Ave, Lake City, Florida. He can be reached at his office (for appointments etc.) via phone at (386) 755-3016.

NPI number for George Wiley Shorter Iii is 1295770535 and his current mailing address is 2217 Dellwood Ave, Jacksonville, Florida. He does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1295770535.

Contact Information

George Wiley Shorter Iii, PH D
Vamc - Unit 9 - 116b, 619 S. Marion Ave,
Lake City, FL 32025
(386) 755-3016
Not Available

Map and Direction




Healthcare Provider's Profile

Full NameGeorge Wiley Shorter Iii
GenderMale
SpecialityPsychologist - Clinical
LocationVamc - Unit 9 - 116b, Lake City, Florida
Accepts Medicare AssignmentsDoes not participate in Medicare Program. He may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1295770535
  • Provider Enumeration Date: 06/19/2006
  • Last Update Date: 07/08/2007

Medical Identifiers

Medical identifiers for George Wiley Shorter Iii such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1295770535NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
103TC0700XPsychologist - Clinical 1244 (Alabama)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. George Wiley Shorter Iii 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 AddressPractice Location Address
George Wiley Shorter Iii, PH D
2217 Dellwood Ave,
Jacksonville, FL 32204-3101

Ph: (386) 755-3016
George Wiley Shorter Iii, PH D
Vamc - Unit 9 - 116b, 619 S. Marion Ave,
Lake City, FL 32025

Ph: (386) 755-3016

Reviews and Comments


Psychologist in Lake City, FL

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Dr. Elizabeth M Bott, PH.D.
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