Individual
DR. SHELLY LYNN KOMONDOROS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
1855 S KOELLER ST, OSHKOSH, WI 54902-6214
(920) 223-7350
Mailing address
1855 S KOELLER ST, OSHKOSH, WI 54902-6214
(920) 223-7350
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
3138-57
WI
Other
Enumeration date
07/01/2011
Last updated
11/15/2013
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