Individual
JARED REGINALD MCSHALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
138 W 25TH ST FL 10, NEW YORK, NY 10001-2152
(212) 335-2100
Mailing address
138 W 25TH ST FL 10, NEW YORK, NY 10001-7470
(212) 335-2100
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
024115
NY
Other
Enumeration date
08/03/2017
Last updated
02/10/2021
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