Individual
DR. DIANE RENE SHELTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PSYD
Contact information
Practice address
2205 W. 136TH AVENUE, SUITE 106-131, BROOMFIELD, CO 80023-8002
(720) 328-8138
Mailing address
2205 W. 136TH AVENUE, SUITE 106-131, BROOMFIELD, CO 80023
(720) 328-8138
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
2374
CO
103TC0700X
Clinical Psychologist
Primary
3231
CT
103TC0700X
Clinical Psychologist
3585
AZ
103TC0700X
Clinical Psychologist
PSY24661
CA
103TC0700X
Clinical Psychologist
PY9759
FL
Other
Enumeration date
12/01/2006
Last updated
01/04/2021
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