Individual
JANE ANN SHEA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
4308 6TH ST S, ARLINGTON, VA 22204-1412
(703) 521-5445
Mailing address
4308 6TH ST S, ARLINGTON, VA 22204-1412
(703) 521-5445
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
0810002976
VA
103T00000X
Psychologist
PSY1450
DC
Other
Enumeration date
05/21/2007
Last updated
07/08/2007
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