Whalio Doctors

NPI 1083160170

Jacqueline Shall-Mccumiskey, PSYD

Practitioner Clinical Psychologist Marlton, NJ

Practice location

Address
525 Route 73 N STE 104, Marlton, NJ 08053-3422
Phone
(646) 479-8068
Mailing address
1675 Richmond Rd, Staten Island, NY 10304-2317

Registered specialties

Clinical Psychologist Primary
Behavioral Health & Social Service Providers Taxonomy 103TC0700X Licence 021797 (NY)

Registry record

NPI
1083160170
Entity type
Individual
Sex (as registered)
Female
NPI issued
29 Aug 2016
Record last updated
29 Sep 2022

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.