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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

DR. JULISSA GARRIS-SHADE, PSY.D.

Active Sole Proprietor

DR. JULISSA GARRIS-SHADE, PSY.D. is a School Psychologist healthcare provider located in MELVILLE, New York. NPI 1740722313 is currently active in the NPPES registry. Verify at CMS.

School Psychologist · MELVILLE, NY

Registration Details

NPI Number
1740722313
Provider Type
Individual
Gender
Female
NPI Issued
Nov 13, 2016 (9.7074248380116 yrs)
Last Updated
Nov 13, 2016
Sole Proprietor
Yes

Practice Information

Address
222 BAGATELLE RD
MELVILLE, NY, 117474104
Browse NY providers · Browse ZIP 11747
Phone
6316436960
Primary Specialty
School Psychologist
103TS0200X

Other School Psychologist Providers in MELVILLE, NY

Name Credential NPI
KIMBERLY ANN FALKOWSKI-PEPE 1720435670
LISA A MORRIS MS 1346756970
MRS. HEATHER NATTER MS 1134617483
RAINA SAMANTHA LEWIS SCHOOL PSYCHOLOGIST 1952887887
DR. JESENYA D DELEON PSYD., NCSP 1689132755
SHAHEEDA RAMEEZA RAHIM MSED 1922671759
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.