Provider Demographics
NPI:1265225445
Name:SHEA, MUNYI (PHD)
Entity type:Individual
Prefix:DR
First Name:MUNYI
Middle Name:
Last Name:SHEA
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2226 EASTLAKE AVE E # 1253
Mailing Address - Street 2:
Mailing Address - City:SEATTLE
Mailing Address - State:WA
Mailing Address - Zip Code:98102-3419
Mailing Address - Country:US
Mailing Address - Phone:206-395-8338
Mailing Address - Fax:
Practice Address - Street 1:2226 EASTLAKE AVE E # 1253
Practice Address - Street 2:
Practice Address - City:SEATTLE
Practice Address - State:WA
Practice Address - Zip Code:98102-3419
Practice Address - Country:US
Practice Address - Phone:206-395-8338
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-05-28
Last Update Date:2025-05-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAPY61468886103TC1900X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC1900XBehavioral Health & Social Service ProvidersPsychologistCounseling