Shore & Associates Pc in Tyler - Psychologist
Shore & Associates Pc - NPI 1093982258
Shore & Associates Pc is a Psychologist in Tyler, Texas. Shore & Associates Pc practices all healthcare services and medical treatments related to Psychologist. The NPI Number for Shore & Associates Pc is 1093982258. The last update date is 2008-05-15.
Shore & Associates Pc's current location address is 804 Spring Creek Dr, Tyler, Texas. You can contact this provider via phone number 9039398760 and fax number 9039398760. The mailing address for Shore & Associates Pc is 804 Spring Creek Dr, Tyler, Texas. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Shore & Associates Pc |
|---|---|
| Address | 804 Spring Creek Dr, Tyler, Texas |
| Phone Number | 9039398760 |
| Fax Number | 9039398760 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | PRESIDENT |
|---|---|
| Authorized Official Name | Shore J Robert |
| Credentials | PHD |
| Telephone Number | 9039398760 |
NPI Number Detail
| NPI Number | 1093982258 |
|---|---|
| Provider Enumeration Date | 2008-05-15 |
| Last Updated Date | 2008-05-15 |
Provider Mailing Address Detail
| Address | 804 Spring Creek Dr |
|---|---|
| City | Tyler |
| State | Texas (TX) |
| Post Code | 75703 |
| Phone Number | 9039398760 |
| Fax Number | 9039398760 |
Provider's Primary Taxonomy Detail
| Speciality | Psychologist |
|---|---|
| Taxonomy | 103T00000X |
| Licence No | 24292 |
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Definition: A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and proce |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 40822101 | TX | -- | |
| 11601-160-01 | TX | -- |
Post Comment/ Review Below
What is the unique identification code assigned to Shore & Associates Pc by the Centers for Medicare & Medicaid Services?
The Shore & Associates Pc has been issued the NPI (National Provider Identifier) 1093982258. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you provide the complete address where Shore & Associates Pc is physically located?
The Shore & Associates Pc is situated at the following address: 804 Spring Creek Dr, Tyler, TX 75703.
What is Shore & Associates Pc's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for Shore & Associates Pc is Psychologist, and the taxonomy code that categorizes this field of expertise is 103T00000X.
On what date did the Centers for Medicare & Medicaid Services issue the 1093982258 to Shore & Associates Pc?
The Shore & Associates Pc received its 1093982258 assignment from the Centers for Medicare & Medicaid Services on 2008-05-15.
As of what date were the details pertaining to Shore & Associates Pc last refreshed?
The information related to the Shore & Associates Pc, including its address, specialty, and other relevant details, was last updated on 2008-05-15.