Individual
DR. JENNY SHIELDS
Active
Individual
DR. JENNY SHIELDS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
40268
TX
103TH0100X
Health Service Psychologist
1359
OK
103TH0100X
Health Service Psychologist
Primary
40268
TX
174V00000X
Clinical Ethicist
129889
OK
174V00000X
Clinical Ethicist
129889
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1558998377
—
OK
Enumeration date
03/23/2020
Last updated
04/30/2025
Update your record
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