| Doctor Name: | JEFFREY DAVID SHEIN |
| NPI Number: | 1114070240 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | PH.D. |
| License Number: | PSY11865 |
| Business Practice Address: | 24511 West Jayne Avenue Coalinga, CA - 93210 |
| Business Phone Number: | 5599354300 |
| Business Fax Number: | 5599354308 |
| Mailing Address: | Po Box 5000, COALINGA |
| State: | CA |
| Postal Code: | 932105000 |
| Phone Number: | 5599354300 |
| Fax Number: | 5599354308 |
| NPI Enumeration Date: | 01/20/2007 |
| NPI Last Update Date: | 10/25/2013 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 103TC0700X |
| License Number: | PSY11865 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | CA |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Psychologist |
| Taxonomy Specialization: | Clinical |
| Taxonomy Definition: | |