Individual
DR. JENNIFER ANNE SHAH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PSY.D.
Contact information
Practice address
4101 S 4TH ST, LEAVENWORTH, KS 66048-5014
(913) 682-2000
Mailing address
183 GERRY RD, CHESTNUT HILL, MA 02467-3185
(603) 731-1958
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
PS01790
RI
Other
Enumeration date
08/09/2019
Last updated
08/09/2019
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