Provider Demographics
NPI:1477758027
Name:SHEA, JR., FRANCIS GERARD (MA)
Entity Type:Individual
Prefix:
First Name:FRANCIS
Middle Name:GERARD
Last Name:SHEA, JR.
Suffix:
Gender:M
Credentials:MA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:72 BARRETT ST
Mailing Address - Street 2:#220
Mailing Address - City:NORTHAMPTON
Mailing Address - State:MA
Mailing Address - Zip Code:01060-1737
Mailing Address - Country:US
Mailing Address - Phone:413-587-0448
Mailing Address - Fax:
Practice Address - Street 1:30 SOUTHWICK ST
Practice Address - Street 2:
Practice Address - City:FEEDING HILLS
Practice Address - State:MA
Practice Address - Zip Code:01030-2024
Practice Address - Country:US
Practice Address - Phone:413-786-6410
Practice Address - Fax:413-789-9623
Is Sole Proprietor?:No
Enumeration Date:2007-06-15
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health