Shea, Mary Ellen Rita

Shea, Mary Ellen Rita is an sole proprietor health care provider with primary practice located at 860 Wyckoff Ave , Mahwah NJ 07430-3186. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Shea, Mary Ellen Rita can be contacted via phone (201) 485-7172.

Contact Information

Primary practice address
860 Wyckoff Ave Mahwah NJ 07430-3186
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X New Jersey

Profile Details

NPI number 1720588007
LBN Legal business name Shea, Mary Ellen Rita
Credentials LSW
Entity Individual
Sole proprietor 1 Yes
Enumeration date Feb 13th, 2018
Last updated Feb 13th, 2018 - about 6 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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