Individual
DR. JANE KIRSTINE SHEPARD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PSY.D.
Contact information
Practice address
357 WHITNEY AVE, SUITE G-01, NEW HAVEN, CT 06511-2364
(203) 676-8997
(203) 787-9744
Mailing address
357 WHITNEY AVE, SUITE G-01, NEW HAVEN, CT 06511-2364
(203) 676-8997
(203) 787-9744
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
002365
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
11244570
CAQH
CT
Enumeration date
05/20/2007
Last updated
08/12/2008
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