MR. Jay R Shetler, PSYD, HSPP

NPI #1962429654 in Goshen, Indiana

Provider Information

NPI Number: 1962429654
Entity Type: Individual
Name: MR. Jay R Shetler, PSYD, HSPP
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Psychologist - Clinical
Credential: PSYD, HSPP
Enumeration Date: Jul 17, 2006
Last Updated: Oct 2, 2008

Practice Location

Address: 1930 W LINCOLN AVE
City: Goshen
State: Indiana
ZIP Code: 46526-5907
Phone: (574) 534-2161

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Psychologist - Clinical — Clinical	103TC0700X	Primary

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