| NPI | 1700987039 |
|---|---|
| Other Name | JERRY SHIH |
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC1900X Psychologist, Counseling (Licence: MN LP3621) |
| Additional Taxonomies | 103T00000X Psychologist (Licence: MN LP3621) |
| 103TP2701X Psychologist, Group Psychotherapy (Licence: MN LP3621) | |
| Enumeration Date | 2006-09-26 |
| Last Update Date | 2007-07-08 |