MR. Brian P Shea, MA

NPI #1003177387 in Providence, Rhode Island

Provider Information

NPI Number: 1003177387
Entity Type: Individual
Name: MR. Brian P Shea, MA
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Counselor
Credential: MA
Enumeration Date: Jun 4, 2012
Last Updated: Jun 4, 2012

Practice Location

Address: 50 PARK ROW W
Address 2: #426
City: Providence
State: Rhode Island
ZIP Code: 02903-1177
Phone: (617) 455-2788

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Counselor	101Y00000X	Primary

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