Individual
DR. JOHN LEWIS SHELTON
Active
Individual
DR. JOHN LEWIS SHELTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PH.D.
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
PY00000580
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0017234
WASHINGTON STATE DEPARTMENT OF LABOR AND INDUSTRIES
WA
01
—
PY00000580
PROFESSIONAL LICENSE
WA
Enumeration date
06/16/2006
Last updated
04/16/2012
Update your record
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