Shields, Jennifer Daer

Shields, Jennifer Daer is an individual health care provider with primary practice located at 506 Honea Egypt Rd # 920 , Magnolia TX 77354-2568. She recently has 3 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Health Service, Other Service Providers / Clinical Ethicist, Behavioral Health & Social Service Providers / Clinical. Behavioral Health & Social Service Providers / Clinical is her primary health care specialty. Shields, Jennifer Daer can be contacted via phone (281) 825-1580.

Contact Information

Primary practice address
506 Honea Egypt Rd # 920 Magnolia TX 77354-2568
Phone: (281) 825-1580
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Health Service 103TH0100X 1359 Oklahoma
Behavioral Health & Social Service Providers / Health Service 103TH0100X 71104 Texas
Other Service Providers / Clinical Ethicist 174V00000X 129889 Texas
Other Service Providers / Clinical Ethicist 174V00000X 129889 Oklahoma
Behavioral Health & Social Service Providers / Clinical 103TC0700X 40268 Texas

Profile Details

NPI number 1558998377
LBN Legal business name Shields, Jennifer Daer
Credentials PHD, LP, HEC-C
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 23rd, 2020
Last updated Jun 13th, 2024 - about 5 months 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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Identifiers

StateTypeNumberIssuer
All States NPI 1558998377 NPPES
Oklahoma MEDICAID 1558998377

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