Organization
MAUREEN T. SHEA LMSW PSYCHOLOGIST PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MAUREEN T. SHEA PH.D. (PRESIDENT)
(631) 765-4397
Entity
Organization
Contact information
Practice address
586 RT 25A, ROCKY POINT, NY 11778-7006
(631) 929-0691
Mailing address
250 CALVES NECK RD, SOUTHOLD, NY 11971-1210
(631) 765-4397
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
—
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01653218
—
NY
Enumeration date
01/13/2009
Last updated
09/02/2017
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