| Organization Name: | MAUREENT. SHEA LMSW PSYCHOLOGIST PC |
| NPI Number: | 1033356092 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | MAUREEN T. SHEA (PRESIDENT) |
| Mailing Address: | 586 Rt 25a Rocky Point |
| State: | NY US |
| Postal Code: | 117787006 |
| Phone Number: | 6319290691 |
| Fax Number: | |
| NPI Enumeration Date: | 01/13/2009 |
| NPI Last Update Date: | 01/13/2009 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YM0800X |
| License Number: | 12000 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | NY |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Mental Health |
| Taxonomy Definition: | |