Individual
DR. JAYLYN CLARK SHIFRIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
3502 HARVEST MOON TRCE SW, LILBURN, GA 30047-2468
(229) 977-0834
Mailing address
3502 HARVEST MOON TRCE SW, LILBURN, GA 30047-2468
(229) 977-0834
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
PSY004638
GA
103TC0700X
Clinical Psychologist
PS02382
RI
103TC0700X
Clinical Psychologist
Primary
PSY004638
GA
Other
Enumeration date
11/20/2020
Last updated
12/03/2025
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