Provider Demographics
NPI:1306173372
Name:SHEFFIELD, PHILIP C JR (MA)
Entity type:Individual
Prefix:MR
First Name:PHILIP
Middle Name:C
Last Name:SHEFFIELD
Suffix:JR
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 1:110 ELMWOOD AVE
Mailing Address - Street 2:ROOM 125
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11230-2606
Mailing Address - Country:US
Mailing Address - Phone:718-859-5420
Mailing Address - Fax:
Practice Address - Street 1:110 ELMWOOD AVE
Practice Address - Street 2:ROOM 125
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11230-2606
Practice Address - Country:US
Practice Address - Phone:718-859-5420
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2009-11-11
Last Update Date:2009-11-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst