Carol Frances Shockley in Griffin - Clinical Child & Adolescent

Carol Frances Shockley - NPI 1356564272

Carol Frances Shockley is a Clinical Child & Adolescent in Griffin, Georgia. Carol Frances Shockley practices all healthcare services and medical treatments related to Clinical Child & Adolescent. The NPI Number for Carol Frances Shockley is 1356564272. The last update date is 2007-07-09.

Carol Frances Shockley's current location address is 231 S 10th St, Griffin, Georgia. You can contact this provider via phone number 7702332822 and fax number 7702332810. The mailing address for Carol Frances Shockley is 231 S 10th St, Griffin, Georgia. To know further, please read the information below!

Provider Profile Detail

Provider Name Carol Frances Shockley
Address 231 S 10th St, Griffin, Georgia
Phone Number 7702332822
Fax Number 7702332810
Sole Proprietor Y
Credentials PH.D.

NPI Number Detail

NPI Number 1356564272
Provider Enumeration Date 2007-04-10
Last Updated Date 2007-07-09

Provider Mailing Address Detail

Address 231 S 10th St
City Griffin
State Georgia (GA)
Post Code 302242803
Phone Number 7702332822
Fax Number 7702332810

Provider's Primary Taxonomy Detail

Speciality Clinical Child & Adolescent
Taxonomy 103Tc2200X
Licence No PSY 1757
Definition:
A psychologist who develops and applies scientific knowledge to the delivery of psychological services to infants, toddlers, children and adolescents within their social context. Of particular importance to the specialty of clinical child psychology

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
00589586B GA --

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FAQs about Carol Frances Shockley

What is the unique provider identifier assigned to Carol Frances Shockley?

The Carol Frances Shockley has been issued the NPI (National Provider Identifier) 1356564272 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.

Could you provide the complete address where Carol Frances Shockley is physically located?

The Carol Frances Shockley is situated at the following address: 231 S 10Th St, Griffin, GA 302242803.

What is Carol Frances Shockley's specialized field of practice, and what is the corresponding taxonomy classification code?

The Carol Frances Shockley's area of specialization is Clinical Child & Adolescent, and the corresponding taxonomy code that categorizes this field of practice is 103Tc2200X.

On what date did the Centers for Medicare & Medicaid Services issue the 1356564272 to Carol Frances Shockley?

The Carol Frances Shockley received its 1356564272 assignment from the Centers for Medicare & Medicaid Services on 2007-04-10.

When was the information related to Carol Frances Shockley most recently updated or refreshed?

The details pertaining to the Carol Frances Shockley, including its address, specialty, and other relevant information, were last updated or refreshed on 2007-07-09.

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