National Provider Identifier Database

JENNIFER L SHORE, PSY.D. – NPI #1417225863
Clinical

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 disciplines within and outside of psychology proper. The scope of clinical psychology encompasses all ages, multiple diversities and varied systems.


Contact Information

JENNIFER L SHORE, PSY.D.
3554 CHAIN BRIDGE ROAD
SUITE 200
FAIRFAX, VA22030
Phone: 703-896-7628
Fax: 703-890-2359
Specialty Taxonomy Code
* Clinical 103TC0700X

* Indicates primary specialty

NPI Profile & details for JENNIFER L SHORE

NPI Number 1417225863
Credentials PSY.D. (Doctor of Psychology)
Entity Individual
Enumeration date 12/13/2011
Last updated 12/15/2016 - About 9 years ago
Sole proprietor1 Yes
Identifiers
  • VA License #: 0810004513
Hospital affiliation n/a

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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