Shields, Tatyana O

Shields, Tatyana O is an sole proprietor health care provider with primary practice located at 3495 Us Highway 1 Ste 34 #1140 , Princeton NJ 08540-2603. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Shields, Tatyana O can be contacted via phone (732) 305-0335.

Contact Information

Primary practice address
3495 Us Highway 1 Ste 34 #1140 Princeton NJ 08540-2603
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X 44SC05995800 New Jersey
Behavioral Health & Social Service Providers / Clinical 1041C0700X 099773 New York
Behavioral Health & Social Service Providers / Clinical 1041C0700X CW022019 Pennsylvania

Profile Details

NPI number 1255877429
LBN Legal business name Shields, Tatyana O
Credentials Licensed Clinical Social Worker (LCSW)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 12th, 2017
Last updated Oct 18th, 2025 - about last year

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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