Jill D Shalan, PHD CLINICAL PSYCH
Psychologist, Clinical in Avon, Connecticut
1881922326- Practice location
- 40 Dale Road, Suite 201, Avon, CT 06001
- Phone
- 860-676-9350
- Fax
- 860-678-7178
- Last updated
- November 20, 2009
Jill D Shalan is a Psychologist, Clinical based in Avon, CT. Jill D Shalan practices in Avon, CT and has the professional credentials of PHD CLINICAL PSYCH. The NPI Number for Jill D Shalan is 1881922326 and holds a License No. 002308 (CT). The current practice location address for Jill D Shalan is 40 Dale Road, Suite 201, Avon, CT 06001 and can be reached out via phone at 860-676-9350 and via fax at 860-678-7178.
Provider Profile Details
- NPI Number
- 1881922326
- Provider Name
- Jill D Shalan
- Credential
- PHD CLINICAL PSYCH
- Provider Entity Type
- Individual
- Gender
- Female
- Address
- 40 Dale Road, Suite 201, Avon, CT 06001
- Phone Number
- 860-676-9350
- Fax Number
- 860-678-7178
- Primary Taxonomy
- Psychologist, Clinical · 103TC0700X
- Sole Proprietor
- No
- Provider Enumeration Date
- November 20, 2009
- Last Update Date
- November 20, 2009
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 40 Dale Road
Suite 201
Avon, CT 06001 - City
- Avon
- State
- Connecticut
- Zip
- 06001
- Phone Number
- 860-676-9350
- Fax Number
- 860-678-7178
Provider Business Mailing Address Details
- Address
- 40 Dale Road
Suite 201
Avon, CT 06001 - City
- Avon
- State
- CT
- Zip
- 06001
- Phone Number
- 860-676-9350
- Fax Number
- 860-678-7178
License Information
- License Number
- 002308
- License State
- CT
- Taxonomy
- Psychologist, Clinical · 103TC0700X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
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Frequently Asked Questions
What is the NPI number of Jill D Shalan, PHD CLINICAL PSYCH?
The NPI number of Jill D Shalan, PHD CLINICAL PSYCH is 1881922326. It was assigned on November 20, 2009 and is currently active in the NPPES registry.
What is the specialty of Jill D Shalan, PHD CLINICAL PSYCH?
Jill D Shalan, PHD CLINICAL PSYCH is registered under the primary taxonomy Psychologist, Clinical (code 103TC0700X), licensed in CT under license number 002308.
Where does Jill D Shalan, PHD CLINICAL PSYCH practice?
The practice location is 40 Dale Road, Suite 201, Avon, CT 06001. The office can be reached at 860-676-9350 (phone) or 860-678-7178 (fax).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1881922326 directly on the NPPES registry website.