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DR. JENNIFER LYNN SHORE PSY.D.
NPI 1417225863
Psychologist - Clinical in Fairfax, VA

Active since December 13, 2011
3554 CHAIN BRIDGE RD, SUITE 103, FAIRFAX, VA 22030(703) 896-7628(703) 890-2359 Get Directions Write a Review

NPPES record last updated: December 15, 2016. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Jennifer Lynn Shore Psy.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. JENNIFER LYNN SHORE PSY.D. (NPI 1417225863) is an individual clinical provider in Fairfax, Virginia, licensed in Virginia (0810004513) and active in the NPI registry since December 2011.

NPPES Registry Identity

NPI1417225863
Entity TypeIndividualFemale
Primary Taxonomy103TC0700X
Provider Legal NameDR. JENNIFER LYNN SHORECredential: PSY.D.
Location Address3554 CHAIN BRIDGE RD, SUITE 103Fairfax, VA 22030-2709
Mailing Address3554 Chain Bridge Rd, Suite 103Fairfax, VA 22030-2709 · (703) 896-7628 · Fax (703) 890-2359
Phone(703) 896-7628
Fax(703) 890-2359
Sole ProprietorYes
Enumeration DateDecember 13, 2011
Last NPPES UpdateDecember 15, 2016
✔ NPI 1417225863 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychologist · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code103TC0700X
License✔ Licensed in VA · 0810004513
Definition
A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of disciplines within and outside of psychology proper. The scope of clinical psychology encompasses all ages, multiple diversities and varied systems.
3554 CHAIN BRIDGE RD, Fairfax, VA 22030
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Other Providers at the Same Location NPPES 7

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

YU KAI HSU DMD
Dentist (Endodontics)
3554 CHAIN BRIDGE RD, SUITE 401
FAIRFAX, VA 22030
Fairfax City (703) 359-4447
SHELLEY L WILLIAMS PSYD
Psychologist (Clinical)
3554 CHAIN BRIDGE RD
FAIRFAX, VA 22030
Fairfax City (703) 896-7628
MS. MELODY EGE LPC
Counselor (Professional)
3554 CHAIN BRIDGE RD
FAIRFAX, VA 22030
Fairfax City (703) 896-7628
DR. DANA W. ERICKSEN DDS
Dentist
3554 CHAIN BRIDGE RD, SUITE 401
FAIRFAX, VA 22030
Fairfax City (703) 385-3226
DR. THUAN AN NGUYEN PSYD
Psychologist (Clinical)
3554 CHAIN BRIDGE RD
FAIRFAX, VA 22030
Fairfax City (703) 896-7628
KATHRYN ANNE ROHR RDH
Dental Hygienist
3554 CHAIN BRIDGE RD
FAIRFAX, VA 22030
Fairfax City (703) 385-3226
DR. CHARLIE HAE HONG DMD, MSD
Dentist (Endodontics)
3554 CHAIN BRIDGE RD, SUITE 401
FAIRFAX, VA 22030
Fairfax City (703) 359-4447

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jennifer Shore's NPI number?

The NPI number for Jennifer Shore is 1417225863. It was assigned to this individual provider in the NPPES registry on December 13, 2011.

Where is Jennifer Shore located?

Jennifer Shore practices at 3554 Chain Bridge Rd Suite 103, Fairfax, VA 22030. The listed phone number is (703) 896-7628.

What is Jennifer Shore's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Clinical, with taxonomy code 103TC0700X.

When was this NPI record last updated?

The NPPES record for Jennifer Shore was last updated on December 15, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.