Individual
BRIAN J SHIELDS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PH.D
Contact information
Practice address
500 UNIVERSITY DR, HERSHEY, PA 17033-2360
(717) 531-8338
(717) 531-6250
Mailing address
PO BOX 858, MC CA410, HERSHEY, PA 17033-0858
(717) 531-5814
(717) 531-0494
Taxonomy
Speciality
Code
Description
License number
State
103G00000X
Clinical Neuropsychologist
Primary
TPS030775
PA
103TC0700X
Clinical Psychologist
1217
WV
103TC2200X
Clinical Child & Adolescent Psychologist
TPS030775
PA
Other
Enumeration date
02/11/2019
Last updated
04/06/2023
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