Individual
DR. JEFFREY SCOTT SHOSTACK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PSY.D.
Contact information
Practice address
246 W STREET RD, SUITE 4A, WARMINSTER, PA 18974-3228
(215) 825-7645
Mailing address
2215 ARCH ST, APT. 401, PHILADELPHIA, PA 19103-1328
(215) 825-7645
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
PS008603L
PA
Other
Enumeration date
07/14/2006
Last updated
07/08/2007
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