Nedock, Shirley

Nedock, Shirley is an sole proprietor health care provider with primary practice located at 1067 Fm 306 Ste 402 , New Braunfels TX 78130-6895. She recently has 4 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Mental Health, Behavioral Health & Social Service Providers / Professional, Agencies / Case Management, Agencies / Community/Behavioral Health. Behavioral Health & Social Service Providers / Professional is her primary health care specialty. Nedock, Shirley can be contacted via phone (281) 925-7780.

Contact Information

Primary practice address
1067 Fm 306 Ste 402 New Braunfels TX 78130-6895
Phone: (281) 925-7780
Fax: (210) 783-1646
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X 78304 Texas
Behavioral Health & Social Service Providers / Professional 101YP2500X 10203 North Carolina
Agencies / Case Management 251B00000X 78304 Texas
Agencies / Community/Behavioral Health 251S00000X 78304 Texas
Behavioral Health & Social Service Providers / Professional 101YP2500X
Behavioral Health & Social Service Providers / Professional 101YP2500X 78304 Texas

Profile Details

NPI number 1942586508
LBN Legal business name Nedock, Shirley
Credentials LPC-S
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 27th, 2011
Last updated May 31st, 2024 - about 6 months ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1942586508 NPPES
Texas MEDICAID 381289301

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