Shields, Candyce Lynn
Shields, Candyce Lynn is an individual health care provider with primary practice located at 831 State Highway 150 S , Evanston WY 82930-5340. She recently has only one registered license in Behavioral Health & Social Service Providers / Psychologist, which is considered as her primary health care specialty. Shields, Candyce Lynn can be contacted via phone (307) 789-3464.Contact Information
Primary practice address
831 State Highway 150 S
Evanston WY 82930-5340
Phone: (307) 789-3464
Fax: (307) 789-7373
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Psychologist | 103T00000X | 429 | Wyoming |
Profile Details
| NPI number | 1265562482 |
|---|---|
| LBN Legal business name | Shields, Candyce Lynn |
| Credentials | PH.D |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 6th, 2007 |
| Last updated | Jul 8th, 2007 - about 18 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1265562482 | NPPES |
| Wyoming | Other | 429 | LICENSE |
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