Individual provider · Type 1 NPI

George Wiley Shorter Iii, PH. D.

Clinical Psychologist · Lake City, FL

NPI number 1295770535 Active

Practice location

Vamc - Unit 9 - 116B, 619 S. Marion Ave
Lake City, FL 32025

Mailing address

2217 Dellwood Ave
Jacksonville, FL 32204-3101

Specialties and licenses

TaxonomyCodeLicense
Clinical Psychologist Primary 103TC0700X1244 (AL)

Clinical Psychologist: 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 discip…

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About NPI 1295770535

George Wiley Shorter Iii, PH. D.'s National Provider Identifier is 1295770535, issued on Jun 19, 2006. The primary taxonomy on file is Clinical Psychologist (103TC0700X), and the practice location is in Lake City, FL. The record was last updated on Jul 8, 2007.