DR. JOHN SHACK, PH.D.

Psychologist - Clinical

Active Individual
NPI: 1942478706

Practice Address

713 WILDERNESS DR.
Douglas, MI 49406

Phone: (269) 857-8644

Specialties

Specialty Code Primary License
Psychologist - Clinical 103TC0700X Yes 6301011374 (MI)

Frequently Asked Questions

NPI 1942478706 is the National Provider Identifier for DR. JOHN SHACK, PH.D., a Psychologist - Clinical provider located in Douglas, MI. This NPI was enumerated on February 14, 2008.
DR. JOHN SHACK, PH.D. practices at 713 WILDERNESS DR., Douglas, MI 49406.

Quick Facts

NPI
1942478706
Type
Individual
Enumerated
Feb 14, 2008
Last Updated
Feb 14, 2008

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