Individual
DR. MADELINE JANE SHINN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PH.,D.
Contact information
Practice address
114 JUNIPER CREEK BLVD, PINEHURST, NC 28374-6806
(910) 639-4782
(919) 777-6786
Mailing address
114 JUNIPER CREEK BLVD, PINEHURST, NC 28374-6806
(910) 639-4782
(919) 777-6786
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
2628
NC
103TB0200X
Cognitive & Behavioral Psychologist
2628
NC
103TC1900X
Counseling Psychologist
2628
NC
103TF0000X
Family Psychologist
2628
NC
103TM1800X
Intellectual & Developmental Disabilities Psychologist
Primary
2628
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
6000171
—
NC
Enumeration date
11/09/2006
Last updated
09/11/2025
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