JACLYN SURLES SHEPARD

CHARLOTTESVILLE, VA
NPI1932335486
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy103TC0700X Psychologist, Clinical
(Licence: VA  0810004538)
Additional Taxonomies390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date2009-06-10
Last Update Date2012-07-11
Business Address
-- JACLYN SURLES SHEPARD PsyD
4 HOSPITAL DR
CHARLOTTESVILLE, VA 22908-0001
Phone number: 434-924-5314
Mailing Address
-- JACLYN SURLES SHEPARD PsyD
PO BOX 9007
CHARLOTTESVILLE, VA 22906-9007
Phone number: