Mary Ellen C Shupe, PHD
Psychologist in Linwood, New Jersey
1316958507- Practice location
- 2106 New RD, Ste F3, Linwood, NJ 08221
- Phone
- 609-926-1165
- Fax
- 609-926-1228
- Last updated
- September 17, 2012
Mary Ellen C Shupe is a Psychologist based in Linwood, NJ. Mary Ellen C Shupe practices in Linwood, NJ and has the professional credentials of PHD. The NPI Number for Mary Ellen C Shupe is 1316958507 and holds a License No. SI00282700 (NJ). The current practice location address for Mary Ellen C Shupe is 2106 New RD, Ste F3, Linwood, NJ 08221 and can be reached out via phone at 609-926-1165 and via fax at 609-926-1228.
Provider Profile Details
- NPI Number
- 1316958507
- Provider Name
- Mary Ellen C Shupe
- Credential
- PHD
- Provider Entity Type
- Individual
- Gender
- Female
- Address
- 2106 New RD, Ste F3, Linwood, NJ 08221
- Phone Number
- 609-926-1165
- Fax Number
- 609-926-1228
- Primary Taxonomy
- Psychologist · 103T00000X
- Sole Proprietor
- No
- Provider Enumeration Date
- August 11, 2006
- Last Update Date
- September 17, 2012
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 2106 New RD
Ste F3
Linwood, NJ 08221 - City
- Linwood
- State
- New Jersey
- Zip
- 08221
- Phone Number
- 609-926-1165
- Fax Number
- 609-926-1228
Provider Business Mailing Address Details
- Address
- 2106 New RD
Ste F3
Linwood, NJ 08221 - City
- Linwood
- State
- NJ
- Zip
- 08221
- Phone Number
- 609-926-1165
- Fax Number
- 609-926-1228
License Information
- License Number
- SI00282700
- License State
- NJ
- Taxonomy
- Psychologist · 103T00000X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
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Frequently Asked Questions
What is the NPI number of Mary Ellen C Shupe, PHD?
The NPI number of Mary Ellen C Shupe, PHD is 1316958507. It was assigned on August 11, 2006 and is currently active in the NPPES registry.
What is the specialty of Mary Ellen C Shupe, PHD?
Mary Ellen C Shupe, PHD is registered under the primary taxonomy Psychologist (code 103T00000X), licensed in NJ under license number SI00282700.
Where does Mary Ellen C Shupe, PHD practice?
The practice location is 2106 New RD, Ste F3, Linwood, NJ 08221. The office can be reached at 609-926-1165 (phone) or 609-926-1228 (fax).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1316958507 directly on the NPPES registry website.