Organization
BRADLEY & SHIELDS THERAPY ASSOC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JEN E SHIELDS (PSYCHOTHERAPIST)
(732) 241-2305
Entity
Organization
Contact information
Practice address
119 MAPLE AVE, RED BANK, NJ 07701-1715
(732) 241-2305
Mailing address
119 MAPLE AVE, RED BANK, NJ 07701-1715
(732) 241-2305
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
37PC00034800
NJ
Other
Enumeration date
01/25/2007
Last updated
03/27/2012
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