Doctor Name: | DR. GEORGE DEACON SHOENBERGER |
NPI Number: | 1003065921 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | PHD |
License Number: | |
Business Practice Address: | 245 Mount Rose St Reno, NV - 895093355 |
Business Phone Number: | 7754486828 |
Business Fax Number: | 7753222964 |
Mailing Address: | 245 Mount Rose St, RENO |
State: | NV |
Postal Code: | 895093355 |
Phone Number: | 7754486828 |
Fax Number: | 7753222964 |
NPI Enumeration Date: | 09/16/2008 |
NPI Last Update Date: | 08/11/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YA0400X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Addiction (Substance Use Disorder) |
Taxonomy Definition: |