Individual
DR. SHELLY MADISON JEBENS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PSYD
Contact information
Practice address
6513 KARINCREST DR, LIBERTY TOWNSHIP, OH 45044-9586
(513) 884-2495
Mailing address
6513 KARINCREST DR, LIBERTY TOWNSHIP, OH 45044-9586
(513) 884-2495
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
6199
OH
Other
Enumeration date
08/01/2006
Last updated
12/13/2012
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