Jane Kirstine Shepard in New Haven - Psychologist

Jane Kirstine Shepard - NPI 1497963656

Jane Kirstine Shepard is a Psychologist in New Haven, Connecticut. Jane Kirstine Shepard practices all healthcare services and medical treatments related to Psychologist. The NPI Number for Jane Kirstine Shepard is 1497963656. The last update date is 2008-08-12.

Jane Kirstine Shepard's current location address is 357 Whitney Ave, New Haven, Connecticut. You can contact this provider via phone number 2036768997 and fax number 2037879744. The mailing address for Jane Kirstine Shepard is 357 Whitney Ave, New Haven, Connecticut. To know further, please read the information below!

Provider Profile Detail

Provider Name Jane Kirstine Shepard
Address 357 Whitney Ave, New Haven, Connecticut
Phone Number 2036768997
Fax Number 2037879744
Sole Proprietor Y
Credentials PSY.D.

NPI Number Detail

NPI Number 1497963656
Provider Enumeration Date 2007-05-20
Last Updated Date 2008-08-12

Provider Mailing Address Detail

Address 357 Whitney Ave
City New Haven
State Connecticut (CT)
Post Code 65112364
Phone Number 2036768997
Fax Number 2037879744

Provider's Primary Taxonomy Detail

Speciality Psychologist
Taxonomy 103T00000X
Licence No 2365
Definition:
A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and proce

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
11244570 CT CAQH

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FAQs about Jane Kirstine Shepard

What is the Jane Kirstine Shepard's 1497963656?

The Jane Kirstine Shepard's NPI (National Provider Identifier) Number is 1497963656. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).

Can you provide the Jane Kirstine Shepard's physical address?

The Jane Kirstine Shepard is physically located at 357 Whitney Ave, in the city of New Haven, CT, with the postal code 65112364.

What is Jane Kirstine Shepard's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?

The specialized area of practice for Jane Kirstine Shepard is Psychologist, and the taxonomy code that categorizes this field of expertise is 103T00000X.

On what date was the 1497963656 assigned to Jane Kirstine Shepard?

The Jane Kirstine Shepard was issued its 1497963656 on 2007-05-20, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.

When was the information pertaining to Jane Kirstine Shepard most recently updated or revised?

The details related to Jane Kirstine Shepard, including its address, specialty, and other relevant information, were last updated or revised on 2008-08-12.

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