Individual provider · Type 1 NPI

Gerry Kathleen Shea, L.C.S.W.

Specialist · Roseville, CA

NPI number 1376540757 Active

Practice location

1660 E Roseville Pkwy
Roseville, CA 95661-3988

Call (916) 878-4016 Map

Specialties and licenses

TaxonomyCodeLicense
Specialist Primary 174400000XLCS 19048 (CA)

Specialist: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

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About NPI 1376540757

Gerry Kathleen Shea, L.C.S.W.'s National Provider Identifier is 1376540757, issued on Jun 30, 2005. The primary taxonomy on file is Specialist (174400000X), and the practice location is in Roseville, CA. The record was last updated on Jul 8, 2007.