Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Dr. Jack L Shortridge, EDD

Individual provider Counseling Psychologist · NPI 1811103468

Dr. Jack L Shortridge, EDD is a Counseling Psychologist in N Charleston, South Carolina. Practices as a sole proprietor. Licensed in Kentucky and South Carolina.

Licensed in
KY, SC
In the registry since
2007
Specialties on file
2
What do these letters mean?
EDD — Doctor of Education
A doctorate in education.

See every abbreviation used in this directory →

Practice location Address checks out

5300 International Blvd Webster University
N Charleston, SC 29418-6937
Phone: (843) 760-1324
Fax: (843) 760-1153
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Counseling Psychologist (primary) Taxonomy 103TC1900X · Licence KY-178 (KY)
Marriage & Family Therapist Taxonomy 106H00000X · Licence 1213 (SC)

Record details

NPI number1811103468
Entity typeIndividual (Type 1)
GenderMale
Credentials EDD
Sole proprietorYes
NPI enumeratedMay 14, 2007
Last updated in NPPESSeptember 11, 2025