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Dr. John Richard Shack, PHD
Clinical Psychologist in Douglas, Michigan
NPI 1942478706

John Richard Shack is a Clinical Psychologist based in Douglas, MI and is specialized in Clinical. John Richard Shack practices in Douglas, MI and has the professional credentials of PHD. The NPI Number for John Richard Shack is 1942478706 and holds a License No. 6301011374 (Michigan).

The current practice location address for John Richard Shack is 713 Wilderness Dr., Douglas, MI and can be reached out via phone at 269-857-8644 and via fax at 269-857-8644.

Location: 713 Wilderness Dr., Douglas, MI, 49406-0140
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1942478706
Provider Name
John Richard Shack
Credential
PHD
Provider Entity Type
Individual
Gender
Male
Address
713 Wilderness Dr., Douglas, MI, 49406-0140
Phone Number
269-857-8644
Fax Number
269-857-8644
Provider Enumeration Date
02/14/2008
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
713 Wilderness Dr.
City
Douglas
State
Michigan
Zip
49406-0140
Phone Number
269-857-8644
Fax Number
269-857-8644
person
Provider Business Mailing Address Details
Address
713 Wilderness Dr.
City
Douglas
State
Michigan
Zip
49406-0140
Phone Number
269-857-8644
Fax Number
269-857-8644
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Psychologist
Speciality
Clinical
Taxonomy
103TC0700X
License No.
6301011374 (Michigan)
Definition
A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of disciplines within and outside of psychology proper. The scope of clinical psychology encompasses all ages, multiple diversities and varied systems.
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