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Contact Information

PAUL W SCHENK PSYD PC
3589 HABERSHAM AT NORTHLAKE
TUCKER, GA30084-4009
 Phone: 770-939-4473
 Fax: 770-939-0033
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Clinical

103TC0700X 62 Psychologist, Clinical
 

Clinical Child & Adolescent

103TC2200X 62 Psychologist, Clinical
 

Cognitive & Behavioral

103TB0200X 62 Psychologist, Clinical
 

Family

103TF0000X 62 Psychologist, Clinical
Indicates primary specialty

NPI Profile & details for PAUL W SCHENK PSYD PC · (Female)

NPI # 1225248362
Status Active
Credentials
Entity Individual
Enumeration date 05/23/2007
Last updated 11/16/2011 - About 15 years ago
Sole proprietor 1 Not specified
Identifiers
  • GA License # 663
  • GA Medicaid 000187954A
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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