Individual
DR. JACQUELINE SHINALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PSYD
Contact information
Practice address
382 COCONUT CIR, WESTON, FL 33326-3317
(203) 733-4298
Mailing address
252 KRAMS AVE, PHILADELPHIA, PA 19128-4730
(203) 733-4298
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
PY12409
FL
Other
Enumeration date
10/15/2024
Last updated
10/15/2024
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