| NPI | 1720024821 |
|---|---|
| Other Name | GENE SHOOTER, JR. |
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: VA 00810002612) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: DC PSY1878) |
| 103TC0700X Psychologist, Clinical (Licence: HI PSY518) | |
| Enumeration Date | 2006-06-20 |
| Last Update Date | 2008-03-06 |