IndividualActive
Jodi Shir, PH.D.
NPI 1730480583 · Clinical Child & Adolescent Psychologist · Sunrise, FL
Provider details
- NPI number
- 1730480583
- Entity type
- Individual
- Primary specialty
- Clinical Child & Adolescent PsychologistBehavioral Health & Social Service Providers
- Credential
- PH.D.
- Sex
- Female
- Sole proprietor
- Yes
- License
- PY5687 (FL)
Practice location
12651 W Sunrise Blvd Ste 102
Sunrise, FL 33323-0906
Phone: (954) 587-7520
Fax: (954) 587-7527
Mailing address
12651 W Sunrise Blvd Ste 101
Sunrise, FL 33323-0906
Registry dates
- Enumerated
- 2010-11-10
- Last updated
- 2020-12-03
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.