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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

NPI # 1225248362
LBN Legal business name PAUL W SCHENK PSYD PC
Authorized official PAUL SCHENK - (PRESIDENT)
Entity Organization
Organization subpart 1 No
Enumeration date 05/23/2007
Last updated 11/16/2011 - About 15 years ago
Identifiers
GA License # 663
GA Medicaid 000187954A
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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