Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
AMANDA JOY SHOCK, CCLS, DT
ActiveAMANDA JOY SHOCK, CCLS, DT is a Developmental Therapist healthcare provider located in PIERCETON, Indiana. NPI 1245713965 is currently active in the NPPES registry. Verify at CMS.
Developmental Therapist · PIERCETON, IN
Registration Details
- NPI Number
- 1245713965
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Sep 9, 2018 (7.9458739978241 yrs)
- Last Updated
- Sep 9, 2018
Practice Information
- Address
-
8468 E 350 NPIERCETON, IN, 465629106Browse IN providers · Browse ZIP 46562
- Phone
- 3179651216
- Primary Specialty
-
Developmental Therapist
222Q00000X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.