Individual
MARY ELLEN C SHUPE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
2106 NEW RD, STE F3, LINWOOD, NJ 08221
(609) 926-1165
(609) 926-1228
Mailing address
2106 NEW RD, STE F3, LINWOOD, NJ 08221
(609) 926-1165
(609) 926-1228
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
SI00282700
NJ
Other
Enumeration date
08/11/2006
Last updated
09/17/2012
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