Individual
ALICE SHEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1635 CENTRAL AVE, BRIDGEPORT, CT 06610-2717
(203) 551-7448
Mailing address
1635 CENTRAL AVE, BRIDGEPORT, CT 06610-2717
(203) 551-7448
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
066460
CT
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/26/2018
Last updated
09/20/2023
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