Provider Demographics
NPI:1447328331
Name:LUCKE SHANKLIN & ASSOCIATES INC
Entity type:Organization
Organization Name:LUCKE SHANKLIN & ASSOCIATES INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:CHRIS
Authorized Official - Middle Name:
Authorized Official - Last Name:SHANKLIN
Authorized Official - Suffix:
Authorized Official - Credentials:PHD
Authorized Official - Phone:816-942-9050
Mailing Address - Street 1:1010 CARONDELET DRIVE
Mailing Address - Street 2:SUITE 412
Mailing Address - City:KANSAS CITY
Mailing Address - State:MO
Mailing Address - Zip Code:64114
Mailing Address - Country:US
Mailing Address - Phone:816-942-9050
Mailing Address - Fax:816-942-9002
Practice Address - Street 1:1010 CARONDELET DRIVE
Practice Address - Street 2:SUITE 412
Practice Address - City:KANSAS CITY
Practice Address - State:MO
Practice Address - Zip Code:64114
Practice Address - Country:US
Practice Address - Phone:816-942-9050
Practice Address - Fax:816-942-9002
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-12-01
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103TP2701XBehavioral Health & Social Service ProvidersPsychologistGroup PsychotherapyGroup - Single Specialty