Provider Demographics
NPI:1467423665
Name:SHEEHAN, JENNIFER CLAIRE (MA, LPA)
Entity Type:Individual
Prefix:
First Name:JENNIFER
Middle Name:CLAIRE
Last Name:SHEEHAN
Suffix:
Gender:F
Credentials:MA, LPA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3411 ASHLEY CIR
Mailing Address - Street 2:
Mailing Address - City:WILMINGTON
Mailing Address - State:NC
Mailing Address - Zip Code:28403-2603
Mailing Address - Country:US
Mailing Address - Phone:910-232-2911
Mailing Address - Fax:
Practice Address - Street 1:7032 WRIGHTSVILLE AVE
Practice Address - Street 2:SUITE 101
Practice Address - City:WILMINGTON
Practice Address - State:NC
Practice Address - Zip Code:28403-3743
Practice Address - Country:US
Practice Address - Phone:910-367-5960
Practice Address - Fax:910-256-6791
Is Sole Proprietor?:Yes
Enumeration Date:2006-01-27
Last Update Date:2011-12-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC2474174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist