Provider Demographics
NPI:1174358048
Name:SCHEER, JILLIAN R (PHD)
Entity type:Individual
Prefix:DR
First Name:JILLIAN
Middle Name:R
Last Name:SCHEER
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2363 JAMES ST # 571
Mailing Address - Street 2:
Mailing Address - City:SYRACUSE
Mailing Address - State:NY
Mailing Address - Zip Code:13206-2840
Mailing Address - Country:US
Mailing Address - Phone:609-902-2129
Mailing Address - Fax:
Practice Address - Street 1:54 E MANNING ST FL 3
Practice Address - Street 2:
Practice Address - City:PROVIDENCE
Practice Address - State:RI
Practice Address - Zip Code:02906-4048
Practice Address - Country:US
Practice Address - Phone:609-902-2129
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-09-03
Last Update Date:2024-09-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY02398501103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist