NPI 1164791620 DEBORAH ANN SHOCKLEY L.P.C. MOUNTAIN GROVE MO. Find Phone Number, Address, Contact details of medical healthcare providers | NPI Number Lookup

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Deborah Ann Shockley - NPI: 1164791620

National Provider Identifier (NPI) is a 10-digit identification number which is issued to health care providers by the Centers for Medicare and Medicaid Services (CMS) in the United States(US). The NPI is introduced to replace of UPIN (unique provider identification number) and now NPI is the only required identifier for Medicare services, and NPI is also used by commercial healthcare insurers and by other payers.

Doctor Name: DEBORAH ANN SHOCKLEY
NPI Number: 1164791620
Entity Type Code: Individual (1)
Gender: F
Credentials: L.P.C.
License Number: 2003032189
Business Practice Address: 600 N Main St
Mountain Grove, MO - 657111309
Business Phone Number: 4179267623
Business Fax Number: 4179267650
Mailing Address: 600 N Main St,
MOUNTAIN GROVE
State: MO
Postal Code: 657111309
Phone Number: 4179267623
Fax Number: 4179267650
NPI Enumeration Date: 12/29/2011
NPI Last Update Date: 12/29/2011
Replacement NPI: 0
NPI Deactivation Date:
NPI Reactivation Date:

Taxonomy Information:

Healthcare Provider Taxonomy: 101YP2500X
License Number: 2003032189
Healthcare Provider Taxonomy:
(Secondary)
Y
State: MO
Taxonomy Type: Behavioral Health & Social Service Providers
Taxonomy Classification: Counselor
Taxonomy Specialization: Professional
Taxonomy Definition:


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