Individual
DR. JULIE SELIGSON SHIELDS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
9650 SANTIAGO RD, SUITE 3, COLUMBIA, MD 21045-3957
(240) 485-8275
Mailing address
9913 TAMBAY CT, MONTGOMERY VILLAGE, MD 20886-1122
(240) 485-8275
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
04262
MD
Other
Enumeration date
06/27/2012
Last updated
02/12/2013
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