Individual provider · Type 1 NPI

Alyssa Ann Shock, DOCTORAL STUDENT

Student in an Organized Health Care Education/Training Program · Springfield, MA

NPI number 1073174371 Active

Practice location

1695 Main St, Suite 400
Springfield, MA 01103-1063

Mailing address

156 Brook St
Dumont, NJ 07628-2425

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1073174371

Alyssa Ann Shock, DOCTORAL STUDENT's National Provider Identifier is 1073174371, issued on Jun 26, 2019. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Springfield, MA. The record was last updated on Jun 26, 2019.