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

George Wiley Shorter III, PHD

Individual provider Clinical Psychologist · NPI 1295770535

George Wiley Shorter III, PHD is a Clinical Psychologist in Lake City, Florida. Licensed in Alabama. Registered with an NPI since 2006.

Licensed in
AL
In the registry since
2006
What do these letters mean?
PHD — Doctor of Philosophy
A research doctorate. In healthcare it usually sits alongside a clinical licence.

See every abbreviation used in this directory →

Practice location Address checks out

Vamc - Unit 9 - 116B 619 S Marion Ave
Lake City, FL 32025
Phone: (386) 755-3016
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Psychologist (primary) Taxonomy 103TC0700X · Licence 1244 (AL)

Record details

NPI number1295770535
Entity typeIndividual (Type 1)
GenderMale
Credentials PHD
Sole proprietorNo
NPI enumeratedJune 19, 2006
Last updated in NPPESJuly 8, 2007
Mailing address2217 Dellwood Ave, Jacksonville, FL 32204-3101

Other providers in Lake City