| NPI | 1700987039 | 
|---|---|
| Other Name | JERRY SHIH | 
| Entity Type | Individual | 
| Gender | Male | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 103TP2701X Psychologist, Group Psychotherapy (Licence: MN LP3621)  | 
| Additional Taxonomies | 103TC1900X Psychologist, Counseling (Licence: MN LP3621)  | 
| 103T00000X Psychologist (Licence: MN LP3621)  | |
| Enumeration Date | 2006-09-26 | 
| Last Update Date | 2025-09-11 |