Individual
DR. MIRIAM SHIELDS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PSYD
Contact information
Practice address
13681 71ST RD, FLUSHING, NY 11367-1942
(917) 667-8466
Mailing address
13681 71ST RD, FLUSHING, NY 11367-1942
(917) 667-8466
Taxonomy
Speciality
Code
Description
License number
State
103TC2200X
Clinical Child & Adolescent Psychologist
Primary
—
—
Other
Enumeration date
12/06/2018
Last updated
12/06/2018
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