Individual
DR. MAUREEN T. SHEA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
586 RTE. 25A, ROCKY POINT, NY 11778-7006
(631) 929-0691
Mailing address
P.O. BOX 5221, 856 ROUTE 25A, ROCKY POINT, NY 11778-7006
(631) 929-0691
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
012000
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01653218
—
NY
Enumeration date
07/31/2009
Last updated
08/25/2017
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