Individual
MRS. KELSEY RAE SHELTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PSY.D.
Contact information
Practice address
1155 NILES CORTLAND RD SE, WARREN, OH 44484-2542
(859) 462-0066
Mailing address
3510 NILES CORTLAND RD NE, CORTLAND, OH 44410-1747
(859) 462-0066
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
7437
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0192431
—
OH
Enumeration date
08/01/2016
Last updated
08/06/2020
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