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Individual
DR. SANDRA EMMA SHELLEY
Active
Individual
DR. SANDRA EMMA SHELLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PH.D.
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
PSY 19779
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
11606010
CAQH PROVIDER ID
CA
Enumeration date
11/01/2006
Last updated
07/08/2007
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