Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MRS. JACKIE SUZANNE SHPAK
Active Sole ProprietorMRS. JACKIE SUZANNE SHPAK is a Clinical Psychologist healthcare provider located in OKEMOS, Michigan. NPI 1255760195 is currently active in the NPPES registry. Verify at CMS.
Clinical Psychologist · OKEMOS, MI
Registration Details
- NPI Number
- 1255760195
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Nov 1, 2013 (12.761505172912 yrs)
- Last Updated
- Jan 19, 2024
- License
-
6301013869 (MI)
- Sole Proprietor
- Yes
Practice Information
- Address
-
2149 JOLLY RDSTE 500OKEMOS, MI, 48864Browse MI providers · Browse ZIP 48864
- Phone
- 5173474645
- Fax
- 5173474644
- Primary Specialty
-
Clinical Psychologist
103TC0700X
Other Clinical Psychologist Providers in OKEMOS, MI
| Name | Credential | NPI |
|---|---|---|
| SUKHVENDER K NIJJER | PH.D. | 1821068693 |
| DR. ELIZABETH ANN WAIESS | PSYD | 1114998838 |
| DR. ARNOLD STEPHEN BERKMAN | PHD | 1114988334 |
| DR. WILLIAM KERRY MILLER | PH.D. | 1730141656 |
| DR. JAYE LAUREL HAMILTON | PH.D. | 1518904275 |
| DR. RODNEY CHARLES HOWARD | PHD | 1114957222 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.