DR. JULISSA GARRIS-SHADE, PSY.D.

Psychologist - School

Active Individual
NPI: 1740722313

Practice Address

222 BAGATELLE RD
Melville, NY 11747

Phone: (631) 643-6960

Specialties

Specialty Code Primary License
Psychologist - School 103TS0200X Yes -

Frequently Asked Questions

NPI 1740722313 is the National Provider Identifier for DR. JULISSA GARRIS-SHADE, PSY.D., a Psychologist - School provider located in Melville, NY. This NPI was enumerated on November 13, 2016.
DR. JULISSA GARRIS-SHADE, PSY.D. practices at 222 BAGATELLE RD, Melville, NY 11747.

Quick Facts

NPI
1740722313
Type
Individual
Enumerated
Nov 13, 2016
Last Updated
Nov 13, 2016

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