Most Relevant Information
Provider Data
| NPI Number: | 1003177387 |
| Provider Name: | BRIAN P SHEA MA |
| Entity Type: | Individual |
| Taxonomy Code: | 101Y00000X |
| Specialty: | Counselor |
| License Number: |
Most Important Dates
| Enumeration Date: | 06/04/2012 |
| Last Updated: | 06/04/2012 |
Provider Practice Location
50 PARK ROW W
#426
PROVIDENCE
RI
029031177
Practice Location Phone/Fax
| Phone: | 6174552788 |
| Fax: |
Provider Mailing Location
50 PARK ROW W
#426
PROVIDENCE
RI
029031177
Provider Mailing Phone/Fax
| Phone: | 6174552788 |
| Fax: |