Individual
DR. JUDITH I SHIELDS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
2469 FAIRMOUNT BLVD, STE. 320, CLEVELAND HTS, OH 44106
(216) 262-6206
Mailing address
PO BOX 21753, SOUTH EUCLID, OH 44121
(216) 262-6206
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
5276
OH
Other
Enumeration date
11/21/2006
Last updated
01/07/2015
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