Individual provider · Type 1 NPI
Jessica Nicole Shore, PSYD
Clinical Psychologist · Philadelphia, PA
Practice location
Virtual Only
Philadelphia, PA 19146
Mailing address
100 S Broad St, 17th Floor
Philadelphia, PA 19110
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Clinical Psychologist Primary | 103TC0700X | PS016961 (PA) |
Clinical Psychologist: A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of discip…
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About NPI 1225284516
Jessica Nicole Shore, PSYD's National Provider Identifier is 1225284516, issued on Aug 18, 2008. The primary taxonomy on file is Clinical Psychologist (103TC0700X), and the practice location is in Philadelphia, PA. The record was last updated on Oct 27, 2026.