Jennifer Shore, PSY.D

NPI 1417225863 · on the registry since 2011 · sole proprietor

Practice

Address: 3554 Chain Bridge Rd
Suite 103
Fairfax, VA 22030
Phone: (703) 896-7628
Fax: (703) 890-2359
Organisation at this address: Fairfax Mental Health & Wellness
Pediatric Services Of America, Llc
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 27

Registry record

Primary taxonomy: 103TC0700X
103TC0700X
Licence states on file: VA
From the registry's licence fields, which are often incomplete.
Sex: Female
Record last updated: 2016-12-15

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Virginia