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NPI Code Detail

MEDICARE: MAURA SHEA HYNES

MEDICARE: MAURA SHEA HYNES
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1101YM0800XMental Health CounselorNJ

General Provider Information

NPI Number : 1548104250
Entity Type Code : Individual
Provider Name (Legal Business Name) : MAURA SHEA HYNES
Provider Business Mailing Address
First Line : 19 LAKESIDE DR
Second Line :
City : BRIDGETON
State : NJ
Zip : 08302-3914
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 60 W LANDIS AVE
Second Line :
City : VINELAND
State : NJ
Zip : 08360-8132
Country : US
Telephone Number : 856-772-5809
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/15/2026
Last Update Date : 04/15/2026

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Directions to “ MAURA SHEA HYNES ” Practice Location

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