Individual
SHELLEY HART
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PPS
Contact information
Practice address
429 N SAN ANTONIO RD, SANTA BARBARA, CA 93110-1399
(805) 884-1629
Mailing address
704 BOLTON WALK, APT #101, GOLETA, CA 93117-4183
(530) 902-4205
Taxonomy
Speciality
Code
Description
License number
State
103TS0200X
School Psychologist
Primary
050208099
CA
Other
Enumeration date
01/17/2010
Last updated
01/17/2010
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