Individual
DR. THOMAS BRENT SHIELDS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
208 OAK ST STE 102, ASHLAND, OR 97520-1870
(541) 951-5180
Mailing address
208 OAK ST STE 102, ASHLAND, OR 97520-1870
(541) 951-5180
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
1603
OR
Other
Enumeration date
05/15/2007
Last updated
07/08/2007
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