Provider Demographics
NPI:1467139899
Name:SHOOK, ALIZIA L (MSW, LSWAIC)
Entity Type:Individual
Prefix:
First Name:ALIZIA
Middle Name:L
Last Name:SHOOK
Suffix:
Gender:F
Credentials:MSW, LSWAIC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5108 196TH ST SW STE 350
Mailing Address - Street 2:C/O RXDX MEDICAL BILLING SERVICES LLC
Mailing Address - City:LYNNWOOD
Mailing Address - State:WA
Mailing Address - Zip Code:98036-6169
Mailing Address - Country:US
Mailing Address - Phone:425-582-2041
Mailing Address - Fax:425-527-0468
Practice Address - Street 1:5108 196TH ST SW STE 350
Practice Address - Street 2:C/O RXDX MEDICAL BILLING SERVICES LLC
Practice Address - City:LYNNWOOD
Practice Address - State:WA
Practice Address - Zip Code:98036-6169
Practice Address - Country:US
Practice Address - Phone:425-582-2041
Practice Address - Fax:425-527-0468
Is Sole Proprietor?:No
Enumeration Date:2023-06-28
Last Update Date:2023-06-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor