| Doctor Name: | DR. MARY SUE SHAUGHNESSY |
| NPI Number: | 1437168986 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | PHD |
| License Number: | 2222 |
| Business Practice Address: | 1442 Addison S Rd Capitol Heights, MD - 207434413 |
| Business Phone Number: | 3013241500 |
| Business Fax Number: | |
| Mailing Address: | 7450 Albert Rd, BRANDYWINE |
| State: | MD |
| Postal Code: | 206133035 |
| Phone Number: | 3018882233 |
| Fax Number: | |
| NPI Enumeration Date: | 08/05/2006 |
| NPI Last Update Date: | 07/15/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 103TC0700X |
| License Number: | 2222 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | MD |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Psychologist |
| Taxonomy Specialization: | Clinical |
| Taxonomy Definition: | |