Individual
DR. JESSICA SHAKESPEARE NEIGHBORS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PSYD, LCSW
Contact information
Practice address
1025 S BRIDGEWAY PL STE 280, EAGLE, ID 83616-6834
(208) 412-7740
(208) 853-1318
Mailing address
1025 S BRIDGEWAY PL STE 280, EAGLE, ID 83616-6834
(208) 412-7740
(208) 853-1318
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
PSY203874
ID
1041C0700X
Clinical Social Worker
28825
ID
Other
Enumeration date
09/19/2008
Last updated
06/28/2024
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