Individual
PATRICK EDWARD SHIELDS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
1940 GREELEY ST S, 202A, STILLWATER, MN 55082-5097
(651) 275-1307
(651) 433-4531
Mailing address
1940 GREELEY ST S, 202A, STILLWATER, MN 55082-5097
(651) 275-1307
(651) 433-4531
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
LP1375
MN
Other
Enumeration date
08/08/2006
Last updated
07/08/2007
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