DR. John Richard Shack, PH.D.

NPI #1942478706 in Douglas, Michigan

Provider Information

NPI Number
1942478706
Entity Type
Individual
Name
DR. John Richard Shack, PH.D.
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Psychologist - Clinical
Credential
PH.D.
Enumeration Date
Feb 14, 2008
Last Updated
Feb 14, 2008

Practice Location

Address
713 WILDERNESS DR.
ZIP Code
49406-0140
Phone
(269) 857-8644

Specialties & Taxonomy Codes

Specialty
Psychologist - ClinicalClinical

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