JONATHAN SHANK

Psychologist - School

Active Individual
NPI: 1669922092

Practice Address

813 CAPITOL ST
Spencer, WV 25276

Phone: (304) 485-6513

Specialties

Specialty Code Primary License
Psychologist - School 103TS0200X Yes A1W134600190 (WV)

Frequently Asked Questions

NPI 1669922092 is the National Provider Identifier for JONATHAN SHANK, a Psychologist - School provider located in Spencer, WV. This NPI was enumerated on October 10, 2016.
JONATHAN SHANK practices at 813 CAPITOL ST, Spencer, WV 25276.

Quick Facts

NPI
1669922092
Type
Individual
Enumerated
Oct 10, 2016
Last Updated
Oct 10, 2016

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