Doctor Name: | DR. NICHOLAS SHOCKMAN |
NPI Number: | 1336417716 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | PSY.D |
License Number: | |
Business Practice Address: | 3311 W Clearwater Ave Suite C-200d Kennewick, WA - 993362710 |
Business Phone Number: | 5094918191 |
Business Fax Number: | 5093967556 |
Mailing Address: | Po Box 5054, PASCO |
State: | WA |
Postal Code: | 993025054 |
Phone Number: | 8049726816 |
Fax Number: | |
NPI Enumeration Date: | 12/13/2011 |
NPI Last Update Date: | 05/08/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101Y00000X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | |
Taxonomy Definition: | A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master |