Doctor Name: | MICHELLE LYNN SHEEDY |
NPI Number: | 1265722433 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | MSW, LCSW |
License Number: | 44SC05452900 |
Business Practice Address: | 4 Arkansas Dr Whiting, NJ - 087591405 |
Business Phone Number: | 9085313354 |
Business Fax Number: | |
Mailing Address: | 4 Arkansas Dr, WHITING |
State: | NJ |
Postal Code: | 087591405 |
Phone Number: | 9085313354 |
Fax Number: | |
NPI Enumeration Date: | 04/08/2011 |
NPI Last Update Date: | 04/08/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YM0800X |
License Number: | 44SC05452900 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NJ |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Mental Health |
Taxonomy Definition: |