Individual
JOCELYN SHAW
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1745 BROADWAY, 17 FL, NEW YORK, NY 10019-4640
(212) 851-8100
(212) 537-0102
Mailing address
611 E 11TH ST, 6C, NEW YORK, NY 10009-4108
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
021380
NY
Other
Enumeration date
09/09/2014
Last updated
10/18/2016
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