Clark Shifrin, Jaylyn

Clark Shifrin, Jaylyn is an individual health care provider with primary practice located at 55 Whitcher St Ne Ste 420 , Marietta GA 30060-1171. She recently has 3 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Psychologist, Behavioral Health & Social Service Providers / Clinical, Behavioral Health & Social Service Providers / Health. Behavioral Health & Social Service Providers / Psychologist is her primary health care specialty. Clark Shifrin, Jaylyn can be contacted via phone (770) 514-6760.

Contact Information

Primary practice address
55 Whitcher St Ne Ste 420 Marietta GA 30060-1171
Phone: (770) 514-6760
Fax: (770) 794-8034
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Psychologist 103T00000X 5826 North Carolina
Behavioral Health & Social Service Providers / Clinical 103TC0700X 5826 North Carolina
Behavioral Health & Social Service Providers / Health 103TH0004X 5826 North Carolina
Behavioral Health & Social Service Providers / Psychologist 103T00000X PSY004638 Georgia

Profile Details

NPI number 1508469537
LBN Legal business name Clark Shifrin, Jaylyn
Credentials PHD
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 20th, 2020
Last updated Dec 21st, 2022 - about 3 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1508469537 NPPES
North Carolina Other 5826 NORTH CAROLINA PSYCHOLOGY BOARD

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