Provider Demographics
NPI:1679857957
Name:DEVINE, SHEILA JEAN (CT, ASCP)
Entity Type:Individual
Prefix:MRS
First Name:SHEILA
Middle Name:JEAN
Last Name:DEVINE
Suffix:
Gender:F
Credentials:CT, ASCP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2015 W MAIN ST STE 230
Mailing Address - Street 2:
Mailing Address - City:STAMFORD
Mailing Address - State:CT
Mailing Address - Zip Code:06902-4536
Mailing Address - Country:US
Mailing Address - Phone:203-863-3885
Mailing Address - Fax:203-863-4775
Practice Address - Street 1:2015 W MAIN ST STE 230
Practice Address - Street 2:
Practice Address - City:STAMFORD
Practice Address - State:CT
Practice Address - Zip Code:06902-4536
Practice Address - Country:US
Practice Address - Phone:203-863-3885
Practice Address - Fax:203-863-4775
Is Sole Proprietor?:No
Enumeration Date:2011-10-05
Last Update Date:2011-10-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes246Z00000XTechnologists, Technicians & Other Technical Service ProvidersSpecialist/Technologist, Other