GEORGE WILEY III SHORTER (PH. D.) – Clinical Psychologist, NPI 1295770535

Clinical Psychologist

GEORGE WILEY III SHORTER (PH. D.) is a healthcare provider. based in Lake city, Florida. specializing in Clinical Psychologist. They hold the professional credentials PH. D.. They hold a License No. 1244 (AL). The NPI Number for GEORGE WILEY III SHORTER (PH. D.) is 1295770535

Main info

Male

Name

GEORGE WILEY III SHORTER (PH. D.)

NPI

1295770535

Phone

(386) 755-3016

Address

VAMC - UNIT 9 - 116B

Enumeration Date

19 June 2006

Last Update Date

8 July 2007

Data current as of

19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology

Experience52

Completeness75

Years active:19State licenses:1Digital endpointsOther names

Provider Addresses for GEORGE WILEY III SHORTER (PH. D.)

VAMC - UNIT 9 - 116B
619 S. MARION AVE
LAKE CITY, FL 32025
Phone: (386) 755-3016
Type: Location
2217, Dellwood Avenue, Brooklyn, Jacksonville, Duval County, Florida, 32204, United States
JACKSONVILLE, FL 322043101
Phone: (386) 755-3016
Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

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Medicare Enrollment & Revalidation

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Educational use only—not medical, billing, or legal advice.

No Medicare enrollment or revalidation data available for this provider in our database.

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Medicare Utilization (FFS)

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No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 32025)

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Reviews

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Frequently asked questions

Is GEORGE WILEY III SHORTER (PH. D.) listed with a National Provider Identifier?

Yes — GEORGE WILEY III SHORTER (PH. D.) has NPI 1295770535 on file in the registry.

Is GEORGE WILEY III SHORTER (PH. D.) shown as active in public data?

Registry records indicate GEORGE WILEY III SHORTER (PH. D.) maintains an active NPI.

How would a patient describe GEORGE WILEY III SHORTER (PH. D.)'s focus?

For GEORGE WILEY III SHORTER (PH. D.), the primary taxonomy reads as Clinical Psychologist. Clinical services aligned with this taxonomy classification.

What locale is associated with GEORGE WILEY III SHORTER (PH. D.)?

Directory geography for GEORGE WILEY III SHORTER (PH. D.) centers on Lake City, Florida.

Does inactive status remove historical data?

Historical rows can remain visible after status changes — read the dates carefully.