Provider Demographics
NPI:1235351396
Name:SHOOK, CHRISTINA BERCHOCK (PSYD)
Entity Type:Individual
Prefix:DR
First Name:CHRISTINA
Middle Name:BERCHOCK
Last Name:SHOOK
Suffix:
Gender:F
Credentials:PSYD
Other - Prefix:DR
Other - First Name:CHRISTINA
Other - Middle Name:LINT
Other - Last Name:BERCHOCK
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PSYD,
Mailing Address - Street 1:594 NORTHEAST DR
Mailing Address - Street 2:
Mailing Address - City:MILTON
Mailing Address - State:PA
Mailing Address - Zip Code:17847-8446
Mailing Address - Country:US
Mailing Address - Phone:717-571-8272
Mailing Address - Fax:
Practice Address - Street 1:260 REITZ BLVD STE 1D
Practice Address - Street 2:
Practice Address - City:LEWISBURG
Practice Address - State:PA
Practice Address - Zip Code:17837-9220
Practice Address - Country:US
Practice Address - Phone:570-701-7212
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-05-02
Last Update Date:2019-09-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPS017318103TC0700X, 103T00000X
VA0810004593103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist
No103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical