MEDICARE: DR. DEAN ALBERT SHROCK PH.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	103TC0700X	Clinical Psychologist	PSY18597	CA

General Provider Information

NPI Number	:	1194741892
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. DEAN ALBERT SHROCK PH.D.

Provider Business Mailing Address
First Line	:	374 LEANDRA LN
Second Line	:
City	:	EAGLE POINT
State	:	OR
Zip	:	97524-6623
Country	:	US
Telephone Number	:	541-826-7740
Fax Number	:	541-826-7740

Provider Business Practice Location Address
First Line	:	374 LEANDRA LN
Second Line	:
City	:	EAGLE POINT
State	:	OR
Zip	:	97524-6623
Country	:	US
Telephone Number	:	541-826-7740
Fax Number	:	541-826-7740

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/14/2006
Last Update Date	:	07/08/2007

Similar Medicare Providers

1114288420 — OANH HOANG OD LLC
Practice Location Address:

1486 NEWHAVEN POINT LN
WEST PALM BEACH, FL
33411-6623

Practice Phone: 561-596-6790
Practice Fax:

1356337323 — C&K EXPRESS, LLC
Practice Location Address:

11148 HIGHWAY 62
EAGLE POINT, OR
97524-9779

Practice Phone: 541-826-9380
Practice Fax: 541-826-9623

1740238013 — KENT HEYWARD ACSW,LMFT,SAP
Practice Location Address:

136 WEST MAIN STREET
EAGLE POINT, OR
97524

Practice Phone: 541-941-2159
Practice Fax:

1841208436 — DR. NICHOLAS H DIENEL M.D.
Practice Location Address:

275 LOTO ST , SUITE 100
EAGLE POINT, OR
97524-9517

Practice Phone: 541-789-5600
Practice Fax:

1336152081 — MARY ELLEN CAMPBELL DPT
Practice Location Address:

158 W MAIN
EAGLE POINT, OR
97524

Practice Phone: 541-830-0914
Practice Fax: 541-830-0923

1528071131 — DR. JAMES EDWARD HANSEN MD
Practice Location Address:

20 FALLING LEAF LN
EAGLE POINT, OR
97524-8606

Practice Phone: 541-826-5576
Practice Fax:

Directions to “ DR. DEAN ALBERT SHROCK PH.D.” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.