DR. PH.D. Eugene A. Shooter, Jr., NPI 1720024821
Clinical Psychologist in Alexandria, VA, US

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NPI number: what is it?

The NPI, or National Provider Identifier, is a non-repeatable number for health care providers. The NPI always consists of 10 digits and is used for administrative and financial procedures. The NPI wa...

NPI 1720024821
NPI Entity Type Individual
Provider Name DR. PH.D. Eugene A. Shooter, Jr.
Enumeration Date September 30, 2009
Last Update Date September 30, 2009
Provider Location Address 5276 Dawes Ave, Alexandria, VA, US
Provider Mailing Address 5276 Dawes Ave, Alexandria, VA, US, 223111404
Is Sole Proprietor? No
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Primary Taxonomy

Taxonomy Code

103TC0700X

Taxonomy Name Clinical Psychologist
Classification

Psychologist

Group

Behavioral Health & Social Service Providers

License No. 00810002612
License State VA
Description 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 disciplines within and outside of psychology proper. The scope of clinical psychology encompasses all ages, multiple diversities and varied systems.

Other Name

PH.D. Gene Shooter, Jr.
Other Name

Business Address

DR. PH.D. Eugene A. Shooter, Jr.
5276 Dawes Ave

Alexandria, VA, US

Phone: 703-379-7350
Fax: 703-379-7352

Mailing Address

DR. PH.D. Eugene A. Shooter, Jr.
5276 Dawes Ave
Alexandria, VA, US
ZIP 223111404
Phone: 703-379-7350
Fax: 703-379-7352

Secondary Taxonomies

Taxonomy Code Group Classification License No. State Primary?

103TC0700X

Behavioral Health & Social Service Providers

Psychologist

PSY1878 DC No

103TC0700X

Behavioral Health & Social Service Providers

Psychologist

PSY518 HI No

Other Identifiers

Identifier Identifier State Identifier Issuer Type/Code
110936 VA PCI APS 01
2787110 VA PCI AETNA 01
142975 VA T-MED BC/BS VA 01
158367 VA PCI TRICARE 01
158367 VA PCI VALUE OPTIONS 01
48900016 VA CAREFIRST BC/BS 01
453769 VA PCI ANTHEM 01
G3960017 DC BCBS DC 01
2122539 VA MAMSI 01
228758 VA PCI KAISER PERMANENTE 01
9123953 VA PHCS 01
142975 VA ANTHEM HEALTHKEEPERS 01

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