Individual
JEFFREY DAVID SHEIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
24511 WEST JAYNE AVENUE, COALINGA, CA 93210
(559) 935-4300
(559) 935-4308
Mailing address
PO BOX 5000, COALINGA, CA 93210-5000
(559) 935-4300
(559) 935-4308
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
PSY11865
CA
103TF0200X
Forensic Psychologist
Primary
PSY11865
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
PSY118650
—
CA
Enumeration date
01/20/2007
Last updated
10/25/2013
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