Individual
DR. JASON SHESTOK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PSY.D.
Contact information
Practice address
5758 BALCONES DR STE 203, AUSTIN, TX 78731-4274
(512) 998-9806
Mailing address
7503 GROVER AVE, AUSTIN, TX 78757-1915
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
37124
TX
103TC0700X
Clinical Psychologist
9702
MA
103TC0700X
Clinical Psychologist
PS01337
RI
Other
Enumeration date
09/12/2007
Last updated
03/17/2018
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