Doctor Name: | GREGORY WAYNE SCHRIMSHER |
NPI Number: | 1023137908 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | PHD |
License Number: | 33309 |
Business Practice Address: | 3601 4th St Ste. 1c102 Lubbock, TX - 794300002 |
Business Phone Number: | 8067432800 |
Business Fax Number: | 8067431668 |
Mailing Address: | Po Box 5865, LUBBOCK |
State: | TX |
Postal Code: | 794085865 |
Phone Number: | 8067432898 |
Fax Number: | 8067432787 |
NPI Enumeration Date: | 03/29/2007 |
NPI Last Update Date: | 06/06/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 103G00000X |
License Number: | 33309 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | TX |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Clinical Neuropsychologist |
Taxonomy Specialization: | |
Taxonomy Definition: | An individual with a doctorate degree, licensure in clinical psychology and specialized training or board certification in neuropsychology who practices or adheres to the principles of neuropsychology; a specialty within the field of psychology focusing primarily on neurobehavioral functioning. |