Individual
SHELLIE MARIE JERVIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PSYD.
Contact information
Practice address
1 JARRETT WHITE RD, TRIPLER AMC, HI 96859-5001
(808) 433-6340
Mailing address
1 JARRETT WHITE RD, TRIPLER AMC, HI 96859-5001
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
564
WY
Other
Enumeration date
10/29/2012
Last updated
05/17/2024
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