Individual provider · Type 1 NPI

Jaclyn Surles Shepard, PSYD

Clinical Psychologist · Charlottesville, VA

NPI number 1932335486 Active

Practice location

4 Hospital Dr
Charlottesville, VA 22908-0001

Fax (434) 924-0185

Mailing address

PO Box 9007
Charlottesville, VA 22906-9007

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program 390200000XNone listed
Clinical Psychologist Primary 103TC0700X0810004538 (VA)

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 1932335486

Jaclyn Surles Shepard, PSYD's National Provider Identifier is 1932335486, issued on Jun 10, 2009. The primary taxonomy on file is Clinical Psychologist (103TC0700X), and the practice location is in Charlottesville, VA. The record was last updated on Jul 11, 2012.