| Maureen T. Shea Lmsw Psychologist Pc | |
|
586 Rt 25a Rocky Point NY 11778-7006 | |
| (631) 929-0691 | |
| Not Available |
| Full Name | Maureen T. Shea Lmsw Psychologist Pc |
|---|---|
| Speciality | Psychologist |
| Location | 586 Rt 25a, Rocky Point, New York |
| Authorized Official Name and Position | Maureen T. Shea (PRESIDENT) |
| Authorized Official Contact | 6317654397 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Maureen T. Shea Lmsw Psychologist Pc 250 Calves Neck Rd Southold NY 11971-1210 Ph: (631) 765-4397 | Maureen T. Shea Lmsw Psychologist Pc 586 Rt 25a Rocky Point NY 11778-7006 Ph: (631) 929-0691 |
| NPI Number | 1033356092 |
|---|---|
| Provider Enumeration Date | 01/13/2009 |
| Last Update Date | 09/02/2017 |
| Medicare PECOS PAC ID | 3678844925 |
|---|---|
| Medicare Enrollment ID | O20170803003431 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1033356092 | NPI | - | NPPES |
| 01653218 | Medicaid | NY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | (New York) | Primary |
| Provider Name | Maureen T Shea |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1609007129 PECOS PAC ID: 6608140314 Enrollment ID: I20170919003641 |
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