Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Dr. Jennifer Lynn Shore, PSYD

Individual provider Clinical Psychologist · NPI 1417225863

Dr. Jennifer Lynn Shore, PSYD is a Clinical Psychologist in Fairfax, Virginia. Practices as a sole proprietor. Licensed in Virginia.

Licensed in
VA
In the registry since
2011
What do these letters mean?
PSYD — Doctor of Psychology
A doctoral psychologist trained primarily for clinical practice.

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Practice location Address checks out

3554 Chain Bridge Rd Ste 103
Fairfax, VA 22030-2709
Phone: (703) 896-7628
Fax: (703) 890-2359
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Psychologist (primary) Taxonomy 103TC0700X · Licence 0810004513 (VA)

Record details

NPI number1417225863
Entity typeIndividual (Type 1)
GenderFemale
Credentials PSYD
Sole proprietorYes
NPI enumeratedDecember 13, 2011
Last updated in NPPESDecember 15, 2016

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