Individual
JESSICA NICOLE SHORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PSY.D.
Contact information
Practice address
3535 MARKET ST FL 3, PHILADELPHIA, PA 19104-3317
(215) 746-6700
Mailing address
100 S BROAD ST, 17TH FLOOR, PHILADELPHIA, PA 19110
(267) 603-3673
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
PS016961
PA
Other
Enumeration date
08/18/2008
Last updated
05/12/2022
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