Individual
DR. CLEVELAND G. SHIELDS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
802 COLUMBIA STREET, LAFAYETTE, IN 47901
(765) 418-5805
Mailing address
802 COLUMBIA STREET, LAFAYETTE, IN 47901
(765) 418-5805
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
35001606A
IN
Other
Enumeration date
05/01/2007
Last updated
07/08/2007
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