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General NPI Number Information
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NPI Number | 1558998377
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Entity Type | Individual
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Provider Name | DR. JENNY SHIELDS
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Gender | Female
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Dates
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Enumeration Date | 03/23/2020
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Last Update Date | 04/30/2025
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Provider Practice Location Address
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Address Line | 8708 TECHNOLOGY FOREST PL STE 175
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City | THE WOODLANDS
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State | TX
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Zip | 77381-1183
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Country | US
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Telephone | 713-482-1925
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Fax |
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Provider Business Mailing Address
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Address Line | 8708 TECHNOLOGY FOREST PL STE 175
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City | THE WOODLANDS
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State | TX
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Zip | 77381-1183
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Country | US
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Telephone | 713-482-1925
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 103TC0700X
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Taxonomy Name | Clinical Psychologist
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License Number | 40268
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License Number State | TX
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Taxonomy #2
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Taxonomy Code | 103TH0100X
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Taxonomy Name | Health Service Psychologist
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License Number | 1359
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License Number State | OK
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Taxonomy #3
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Taxonomy Code | 174V00000X
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Taxonomy Name | Clinical Ethicist
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License Number | 129889
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License Number State | TX
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Taxonomy #4
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Taxonomy Code | 174V00000X
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Taxonomy Name | Clinical Ethicist
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License Number | 129889
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License Number State | OK
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Taxonomy #5
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Taxonomy Code | 103TH0100X
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Taxonomy Name | Health Service Psychologist
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License Number | 40268
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License Number State | TX
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