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DOUGLAS L. SHORE PH.D.
NPI 1275645038
Psychologist - Clinical in Clinton Township, MI

Active since August 31, 2006
36405 HARPER AVE, CLINTON TOWNSHIP, MI 48035(586) 791-6060(586) 791-8211 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Douglas L. Shore Ph.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DOUGLAS L. SHORE PH.D. (NPI 1275645038) is an individual clinical provider in Clinton Township, Michigan, licensed in Michigan (6301003925) and active in the NPI registry since August 2006.

NPPES Registry Identity

NPI1275645038
Entity TypeIndividualMale
Primary Taxonomy103TC0700X
Provider Legal NameDOUGLAS L. SHORECredential: PH.D.
Location Address36405 HARPER AVEClinton Township, MI 48035-2957
Mailing Address36405 Harper AveClinton Township, MI 48035-2957 · (586) 791-6060 · Fax (586) 791-8211
Phone(586) 791-6060
Fax(586) 791-8211
Sole ProprietorNo
Enumeration DateAugust 31, 2006
Last NPPES UpdateJuly 8, 2007
✔ NPI 1275645038 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychologist · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code103TC0700X
License✔ Licensed in MI · 6301003925
Definition
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.
36405 HARPER AVE, Clinton Township, MI 48035
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Other Identifiers 2

Medicare UPINS48545MI
Medicare ID-Type UnspecifiedOF 34697762MI

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. JEREL EUGENE DELDOTTO PHD
Psychologist
36405 HARPER AVE
CLINTON TOWNSHIP, MI 48035
Macomb County (586) 791-6060
LINDSAY ZEIG
Counselor (Professional)
36405 HARPER AVE
CLINTON TOWNSHIP, MI 48035
Macomb County (586) 463-2921
DR. DANIEL THOMAS ALTIER PHD
Psychologist (Clinical)
36405 HARPER AVE
CLINTON TWP, MI 48035
Macomb County (586) 791-6060

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Douglas Shore's NPI number?

The NPI number for Douglas Shore is 1275645038. It was assigned to this individual provider in the NPPES registry on August 31, 2006.

Where is Douglas Shore located?

Douglas Shore practices at 36405 Harper Ave, Clinton Township, MI 48035. The listed phone number is (586) 791-6060.

What is Douglas Shore's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Clinical, with taxonomy code 103TC0700X.

When was this NPI record last updated?

The NPPES record for Douglas Shore was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.