Individual
DR. STACY ELLANE SHIELDS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
650 N SAM HOUSTON PKWY E STE 516, HOUSTON, TX 77060-5915
(832) 299-4146
Mailing address
650 N SAM HOUSTON PKWY E STE 516, HOUSTON, TX 77060-5915
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
37787
TX
Other
Enumeration date
06/26/2022
Last updated
08/23/2024
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