| Paul W Schenk Psyd Pc | |
|
3589 Habersham At Northlake Tucker GA 30084-4009 | |
| (770) 939-4473 | |
| (770) 939-0033 |
| Full Name | Paul W Schenk Psyd Pc |
|---|---|
| Speciality | Psychologist |
| Location | 3589 Habersham At Northlake, Tucker, Georgia |
| Authorized Official Name and Position | Paul W. Schenk (PRESIDENT) |
| Authorized Official Contact | 7709394473 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Paul W Schenk Psyd Pc 3589 Habersham At Northlake Tucker GA 30084-4009 Ph: (770) 939-4473 | Paul W Schenk Psyd Pc 3589 Habersham At Northlake Tucker GA 30084-4009 Ph: (770) 939-4473 |
| NPI Number | 1225248362 |
|---|---|
| Provider Enumeration Date | 05/23/2007 |
| Last Update Date | 11/16/2011 |
| Medicare PECOS PAC ID | 5092989830 |
|---|---|
| Medicare Enrollment ID | O20111114000399 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1225248362 | NPI | - | NPPES |
| 000187954A | Medicaid | GA |
| Provider Name | Paul W Schenk |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1831171065 PECOS PAC ID: 4981878725 Enrollment ID: I20111130000550 |
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