Individual
DR. DEVIN RENEE SHELTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PSYD, LP
Contact information
Practice address
1350 E BRADFORD PKWY, SPRINGFIELD, MO 65804-4376
(417) 761-5850
Mailing address
1300 E BRADFORD PKWY, SPRINGFIELD, MO 65804-4264
(417) 761-5000
(417) 761-5065
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
2012036304
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
490000400
—
MO
Enumeration date
10/24/2012
Last updated
09/08/2021
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