Provider Demographics
NPI:1184287948
Name:SHOOK CONSULTING CO.
Entity type:Organization
Organization Name:SHOOK CONSULTING CO.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MEMBER
Authorized Official - Prefix:DR
Authorized Official - First Name:CHRISTINA
Authorized Official - Middle Name:BERCHOCK
Authorized Official - Last Name:SHOOK
Authorized Official - Suffix:
Authorized Official - Credentials:PSYD
Authorized Official - Phone:570-701-7212
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:570-701-7212
Mailing Address - Fax:
Practice Address - Street 1:260 REITZ BLVD STE 1-D
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:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-04-17
Last Update Date:2019-09-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261Q00000XAmbulatory Health Care FacilitiesClinic/Center
No261QM0801XAmbulatory Health Care FacilitiesClinic/CenterMental Health (Including Community Mental Health Center)
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA103215619Medicaid