Jack L Shortridge in Summerville - Counseling
Jack L Shortridge - NPI 1811103468
Jack L Shortridge is a Counseling in Summerville, South Carolina. Jack L Shortridge practices all healthcare services and medical treatments related to Counseling. The NPI Number for Jack L Shortridge is 1811103468. The last update date is 2007-07-08.
Jack L Shortridge's current location address is 104 W Shepard Ln, Summerville, South Carolina. You can contact this provider via phone number 8438210323. The mailing address for Jack L Shortridge is 104 W Shepard Ln, Summerville, South Carolina. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Jack L Shortridge |
|---|---|
| Address | 104 W Shepard Ln, Summerville, South Carolina |
| Phone Number | 8438210323 |
| Fax Number | |
| Sole Proprietor | Y |
| Credentials | ED.D. |
NPI Number Detail
| NPI Number | 1811103468 |
|---|---|
| Provider Enumeration Date | 2007-05-14 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 104 W Shepard Ln |
|---|---|
| City | Summerville |
| State | South Carolina (SC) |
| Post Code | 294834242 |
| Phone Number | 8438210323 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Counseling |
|---|---|
| Taxonomy | 103Tc1900X |
| Licence No | KY-178 |
|
Definition: A psychologist who specializes in general practice and health service. It focuses on how people function both personally and in their relationships at all ages. Counseling psychology addresses the emotional, social, work, school and physical health c |
|
Post Comment/ Review Below
What is the unique identification code assigned to Jack L Shortridge by the Centers for Medicare & Medicaid Services?
The Jack L Shortridge has been issued the NPI (National Provider Identifier) 1811103468. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Where is the Jack L Shortridge located?
The Jack L Shortridge is located at 104 W Shepard Ln, Summerville, SC 294834242.
What is Jack L Shortridge's area of expertise and its corresponding taxonomy classification?
The Jack L Shortridge's field of specialization is Counseling, and it falls under the taxonomy code 103Tc1900X, which categorizes healthcare providers based on their areas of practice.
On what date was the 1811103468 assigned to Jack L Shortridge?
The Jack L Shortridge was issued its 1811103468 on 2007-05-14, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
When was the information related to Jack L Shortridge most recently updated or refreshed?
The details pertaining to the Jack L Shortridge, including its address, specialty, and other relevant information, were last updated or refreshed on 2007-07-08.
Address: 10981 San Diego Mission Rd, San Diego, CA
Address: 191 Willoughby St, Brooklyn, NY
Address: 1935 County Road B2 W Ste 270, Roseville, MN
Address: 40 Medical Park, Wheeling, WV
Address: 27730 Gratiot Ave, Roseville, MI
Address: 408 N Kendrick St, Flagstaff, AZ
Address: 1155 Louisiana Ave, Winter Park, FL
Address: 835 Sw Western Ave, Topeka, KS
Address: 401 South St, Chardon, OH
Address: 722 Oneta St, Oxford, MI
Address: 421 S Best Ave, Walnutport, PA
Address: 421 S Best Ave, Walnutport, PA
Address: 421 S Best Ave, Walnutport, PA
Address: 421 S Best Ave, Walnutport, PA
Address: 230 E Day Rd, Mishawaka, IN