Dr. M T Shea, PHD
Psychologist in Providence, Rhode Island
1871604744- Practice location
- 830 Chalkstone Ave, Bldg 14, Providence, RI 02908-4734
- Phone
- 401-273-7100
- Fax
- 401-455-0516
- Last updated
- July 8, 2007
M Tracie Shea is a Psychologist based in Providence, RI. M Tracie Shea practices in Providence, RI and has the professional credentials of PHD. The NPI Number for M Tracie Shea is 1871604744 and holds a License No. PS00480 (RI). The current practice location address for M Tracie Shea is 830 Chalkstone Ave, Bldg 14, Providence, RI 02908-4734 and can be reached out via phone at 401-273-7100 and via fax at 401-455-0516.
Provider Profile Details
- NPI Number
- 1871604744
- Provider Name
- M Tracie Shea
- Credential
- PHD
- Provider Entity Type
- Individual
- Gender
- Female
- Address
- 830 Chalkstone Ave, Bldg 14, Providence, RI 02908-4734
- Phone Number
- 401-273-7100
- Fax Number
- 401-455-0516
- Primary Taxonomy
- Psychologist · 103T00000X
- Sole Proprietor
- No
- Provider Enumeration Date
- August 31, 2006
- Last Update Date
- July 8, 2007
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 830 Chalkstone Ave
Bldg 14
Providence, RI 02908-4734 - City
- Providence
- State
- Rhode Island
- Zip
- 02908-4734
- Phone Number
- 401-273-7100
- Fax Number
- 401-455-0516
Provider Business Mailing Address Details
- Address
- 17 Standish RD
Jamestown, RI 02835-1265 - City
- Jamestown
- State
- RI
- Zip
- 02835-1265
License Information
- License Number
- PS00480
- License State
- RI
- 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 Dr. M T Shea, PHD?
The NPI number of Dr. M T Shea, PHD is 1871604744. It was assigned on August 31, 2006 and is currently active in the NPPES registry.
What is the specialty of Dr. M T Shea, PHD?
Dr. M T Shea, PHD is registered under the primary taxonomy Psychologist (code 103T00000X), licensed in RI under license number PS00480.
Where does Dr. M T Shea, PHD practice?
The practice location is 830 Chalkstone Ave, Bldg 14, Providence, RI 02908-4734. The office can be reached at 401-273-7100 (phone) or 401-455-0516 (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 1871604744 directly on the NPPES registry website.