Individual
PETER M SHEA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
EDD
Contact information
Practice address
19 CAPTAIN BLOUNT RD, SOUTH YARMOUTH, MA 02664-2810
(413) 244-6219
Mailing address
19 CAPTAIN BLOUNT RD, SOUTH YARMOUTH, MA 02664-2810
(413) 244-6219
Taxonomy
Speciality
Code
Description
License number
State
103TS0200X
School Psychologist
Primary
990
MA
Other
Enumeration date
02/15/2012
Last updated
02/15/2012
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