Provider Demographics
NPI:1669643755
Name:SHANKER, RINKU (PSYD)
Entity Type:Individual
Prefix:
First Name:RINKU
Middle Name:
Last Name:SHANKER
Suffix:
Gender:F
Credentials:PSYD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:39 ROTARY DR
Mailing Address - Street 2:
Mailing Address - City:SUMMIT
Mailing Address - State:NJ
Mailing Address - Zip Code:07901-3116
Mailing Address - Country:US
Mailing Address - Phone:908-679-9966
Mailing Address - Fax:
Practice Address - Street 1:500 MORRIS AVE STE 313
Practice Address - Street 2:
Practice Address - City:SPRINGFIELD
Practice Address - State:NJ
Practice Address - Zip Code:07081-1020
Practice Address - Country:US
Practice Address - Phone:908-679-9966
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2008-03-17
Last Update Date:2020-05-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ35SI00482100103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist