Individual
DR. SHELLEY K KRACH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHD, NCSP
Contact information
Practice address
2300 W INDIANHEAD DRIVE, TALAHASSEE, FL 32301-2822
(850) 644-4593
Mailing address
2300 W INDIANHEAD DRIVE, TALAHASSEE, FL 32301-2822
(770) 361-6802
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
1712
AL
103TC0700X
Clinical Psychologist
PY0576
NV
103TC0700X
Clinical Psychologist
PY9691
FL
Other
Enumeration date
11/14/2011
Last updated
07/02/2021
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