DR. WILMA A. SHIELDS


Address: 15 Schooleys Mountain Rd, Long Valley, NJ 07853-3198
Phone: 9088763475

DR. WILMA A. SHIELDS (NPI# 1588705792) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1588705792
Entity Type Individual
Full Name DR. WILMA A. SHIELDS
Credential PSY.D.
Practice Address 15 Schooleys Mountain Rd
Long Valley
NJ 07853-3198
Practice Telephone 9088763475
Mailing Telephone 9088763475
Enumeration Date 2007-02-09
Last Update Date 2014-11-12
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 103TC0700X Psychologist
Specialization: Clinical
35SI00275300 NJ Behavioral Health & Social Service Providers

Office Location

Street Address 15 SCHOOLEYS MOUNTAIN RD
City LONG VALLEY
State NJ
Zip Code 07853-3198

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1790854065 Mary Anne Giuseppe Dentist 2 Mountain View Avenue, Long Valley, NJ 07853 2006-11-08
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1174502363 Jacqueline M Roskie Social Worker 59 East Mill Road, Bldg 2 Suite 2 - 202, Long Valley, NJ 07853 2006-01-16
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Taxonomy Information

Taxonomy Code 103TC0700X
Grouping Behavioral Health & Social Service Providers
Classification Psychologist
Specialization Clinical

Taxonomy Definition

Definition to come...

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Competitor

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City LONG VALLEY
Zip Code 07853

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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