Michael J Shea is a Clinical in Minneapolis, Minnesota. Michael J Shea practices all healthcare services and medical treatments related to Clinical. The NPI Number for Michael J Shea is 1356425904. The last update date is 2012-06-20.
Michael J Shea's current location address is 1730 Clifton Pl Ste 111, Minneapolis, Minnesota. You can contact this provider via phone number 6128712165 and fax number 6128712448. The mailing address for Michael J Shea is 1730 Clifton Pl Ste 111, Minneapolis, Minnesota. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Michael J Shea |
|---|---|
| Address | 1730 Clifton Pl Ste 111, Minneapolis, Minnesota |
| Phone Number | 6128712165 |
| Fax Number | 6128712448 |
| Sole Proprietor | Y |
| Credentials | PH.D. |
NPI Number Detail
| NPI Number | 1356425904 |
|---|---|
| Provider Enumeration Date | 2006-10-24 |
| Last Updated Date | 2012-06-20 |
Provider Mailing Address Detail
| Address | 1730 Clifton Pl Ste 111 |
|---|---|
| City | Minneapolis |
| State | Minnesota (MN) |
| Post Code | 554033242 |
| Phone Number | 6128712165 |
| Fax Number | 6128712448 |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 103Tc0700X |
| Licence No | LP2029 |
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Definition: A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 55676SH | MN | BLUE CROSS PROVIDER | |
| LP 2029MN | MN | LICENCED PSYCHOLOGIST | |
| 421047600 | MN | -- |
Post Comment/ Review Below
What is the Michael J Shea's 1356425904?
The Michael J Shea's NPI (National Provider Identifier) Number is 1356425904. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Could you please provide the complete physical location address of Michael J Shea?
The Michael J Shea is physically situated at 1730 Clifton Pl Ste 111, in the city of Minneapolis, state of MN, with the postal code 554033242.
What is the area of specialization for Michael J Shea, and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for Michael J Shea is Clinical, and the corresponding taxonomy code that categorizes this area of expertise is 103Tc0700X.
When did Michael J Shea receive its 1356425904 assignment?
The Michael J Shea was assigned its 1356425904 on 2006-10-24, which is the date when this unique identifier was issued to the organization.
As of what date was the information pertaining to Michael J Shea, such as address, specialty, and other details, last reviewed and confirmed to be accurate?
The information related to Michael J Shea, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2012-06-20.