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Jaclyn Surles Shepard, PSYD
Clinical Psychologist in Charlottesville, Virginia
NPI 1932335486

Jaclyn Surles Shepard is a Clinical Psychologist based in Charlottesville, VA and is specialized in Clinical. Jaclyn Surles Shepard practices in Charlottesville, VA and has the professional credentials of PSYD. The NPI Number for Jaclyn Surles Shepard is 1932335486 and holds a License No. (Virginia).

The current practice location address for Jaclyn Surles Shepard is 4 Hospital Dr, Charlottesville, VA and can be reached out via phone at 434-924-5314 and via fax at 434-924-0185.

Location: 4 Hospital Dr, Charlottesville, VA, 22906-9007
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1932335486
Provider Name
Jaclyn Surles Shepard
Credential
PSYD
Provider Entity Type
Individual
Gender
Female
Address
4 Hospital Dr, Charlottesville, VA, 22906-9007
Phone Number
434-924-5314
Fax Number
434-924-0185
Provider Enumeration Date
06/10/2009
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
4 Hospital Dr
City
Charlottesville
State
Virginia
Zip
22908-0001
Phone Number
434-924-5314
Fax Number
434-924-0185
person
Provider Business Mailing Address Details
Address
4 Hospital Dr
City
Charlottesville
State
Virginia
Zip
22908-0001
Phone Number
434-924-5314
Fax Number
434-924-0185
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Psychologist
Speciality
Clinical
Taxonomy
103TC0700X
License No.
0810004538 (Virginia)
Definition
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.
person
Provider's Taxonomy Details 2
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
()
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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