Individual
DR. M TRACIE SHEA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
830 CHALKSTONE AVE, BLDG 14, PROVIDENCE, RI 02908-4734
(401) 273-7100
(401) 455-0516
Mailing address
17 STANDISH RD, JAMESTOWN, RI 02835-1265
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
PS00480
RI
Other
Enumeration date
08/31/2006
Last updated
07/08/2007
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