Dean Albert Shrock in Eagle Point - Clinical
Dean Albert Shrock - NPI 1194741892
Dean Albert Shrock is a Clinical in Eagle Point, Oregon. Dean Albert Shrock practices all healthcare services and medical treatments related to Clinical. The NPI Number for Dean Albert Shrock is 1194741892. The last update date is 2007-07-08.
Dean Albert Shrock's current location address is 374 Leandra Ln, Eagle Point, Oregon. You can contact this provider via phone number 5418267740 and fax number 5418267740. The mailing address for Dean Albert Shrock is 374 Leandra Ln, Eagle Point, Oregon. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Dean Albert Shrock |
|---|---|
| Address | 374 Leandra Ln, Eagle Point, Oregon |
| Phone Number | 5418267740 |
| Fax Number | 5418267740 |
| Sole Proprietor | Y |
| Credentials | PH.D. |
NPI Number Detail
| NPI Number | 1194741892 |
|---|---|
| Provider Enumeration Date | 2006-07-14 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 374 Leandra Ln |
|---|---|
| City | Eagle Point |
| State | Oregon (OR) |
| Post Code | 975246623 |
| Phone Number | 5418267740 |
| Fax Number | 5418267740 |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 103Tc0700X |
| Licence No | PSY18597 |
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Definition: A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in |
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What is the Dean Albert Shrock's 1194741892?
The Dean Albert Shrock's NPI (National Provider Identifier) Number is 1194741892. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Could you please provide the complete physical location address of Dean Albert Shrock?
The Dean Albert Shrock is physically situated at 374 Leandra Ln, in the city of Eagle Point, state of OR, with the postal code 975246623.
What is Dean Albert Shrock's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for Dean Albert Shrock is Clinical, and the taxonomy code that classifies this field of practice is 103Tc0700X.
On what date did the Dean Albert Shrock receive the assignment of its 1194741892 from the Centers for Medicare & Medicaid Services?
The Dean Albert Shrock was issued its 1194741892 by the Centers for Medicare & Medicaid Services on 2006-07-14.
When was the information regarding Dean Albert Shrock, such as address, specialty, and other details, most recently verified or confirmed to be accurate?
The information pertaining to Dean Albert Shrock, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2007-07-08.